Spenser Robert Beasley
Nurse Practitioner - Family Medicine
301 E Wendover Ave Ste 311
Greensboro
, North Carolina 27401-1210
Spenser Robert Beasley
Nurse Practitioner - Family Medicine
301 E Wendover Ave Ste 311
Greensboro
, North Carolina 27401-1210
(336) 272-2112
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Spenser Robert Beasley
- 719 Green Valley Rd Suite 209
- Greensboro, NC
- Zip : 27408-7014
- Fax : (336) 272-2112
- Phone : (336) 272-9447
Second Address
- Spenser Robert Beasley
- 301 E Wendover Ave Ste 311
- Greensboro, NC
- Zip : 27401-1210
- Phone : (336) 272-6161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5008695 | NC |
National Provider Identifier
| NPI | 1003268848 |
|---|---|
| Provider Name | Spenser Robert Beasley |
| First Address | Greensboro, NC 27408-7014 |
| Second Address | Greensboro, NC 27401-1210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2016 |
| Last Update Date | 11/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.