Provider Demographics
NPI:1780250290
Name:STRAIN, ANNA BEAM (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:BEAM
Last Name:STRAIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19619 HIGHWAY 48
Mailing Address - Street 2:
Mailing Address - City:WEDOWEE
Mailing Address - State:AL
Mailing Address - Zip Code:36278-6033
Mailing Address - Country:US
Mailing Address - Phone:770-843-4739
Mailing Address - Fax:
Practice Address - Street 1:307 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BOWDON
Practice Address - State:GA
Practice Address - Zip Code:30108-1309
Practice Address - Country:US
Practice Address - Phone:678-257-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN248266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily