Healthcare Provider Details

I. General information

NPI: 1255256798
Provider Name (Legal Business Name): CHRISTA E BEASLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NBHC CRANE BLD 2516 300 HIGHWAY 360
APO AA
47522
US

IV. Provider business mailing address

15649 N US HIGHWAY 231
ODON IN
47562-5515
US

V. Phone/Fax

Practice location:
  • Phone: 812-854-1220
  • Fax: 812-854-1339
Mailing address:
  • Phone: 812-854-4322
  • Fax: 812-854-1339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number28092774
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: