Deborah Carroll Beeler, LPN
Individual provider Active NPI Licensed Practical Nurse · Bristol, TN
NPI 1184740508 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184740508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 69114 (TN)
- Practice address
- 26 Midway St
Bristol, TN 37620-1706 - Phone
- (423) 989-4500
- Fax
- (423) 989-4582
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69114 | TN | MD | Geriatric Medicine (Internal Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 69114 | TN | Yes |
Addresses
Primary practice location
26 Midway St
Bristol, TN 37620-1706
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other providers in Bristol, TN
- Stephanie Bauer
- Brittany LD Bays
- Madison Asher Bazyk
- Braden Elizabeth Beckham
- David C Beckner
- Broadus Monroe Beeson
- Vinaya S Belagode
- John Michael Bell
- Bellebrook Rd Healthcare LLC
- Jacob Lloyd Benfield
All providers in Bristol, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.