Healthcare Provider Details

I. General information

NPI: 1235649229
Provider Name (Legal Business Name): SUSAN BEECHER RN, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN TRENZ RN

II. Dates (important events)

Enumeration Date: 10/04/2017
Last Update Date: 03/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 MONTGOMERY RD
CINCINNATI OH
45242-4402
US

IV. Provider business mailing address

8754 CREEKSCAPE LN APT 1018
CINCINNATI OH
45249-2067
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-1111
  • Fax:
Mailing address:
  • Phone: 214-288-6297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number019577
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: