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NPI Code Detail

MEDICARE: KELSIE ANN BEASLEY CRNP

MEDICARE: KELSIE ANN BEASLEY CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP034509PA

General Provider Information

NPI Number : 1629930565
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE ANN BEASLEY CRNP
Provider Business Mailing Address
First Line : 274 EVANS RD
Second Line :
City : ZELIENOPLE
State : PA
Zip : 16063-3010
Country : US
Telephone Number : 724-622-7598
Fax Number : 724-622-7598
Provider Business Practice Location Address
First Line : 631 N BROAD STREET EXT
Second Line :
City : GROVE CITY
State : PA
Zip : 16127-4603
Country : US
Telephone Number : 724-450-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 04/16/2026

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Directions to “ KELSIE ANN BEASLEY CRNP” Practice Location

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