Healthcare Provider Details

I. General information

NPI: 1750054086
Provider Name (Legal Business Name): ERIN LYNNE BEESLEY CSR-APRN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 VALLEY RD
MIDDLETOWN RI
02842-5234
US

IV. Provider business mailing address

127 JOHNNY CAKE HILL RD
MIDDLETOWN RI
02842-5674
US

V. Phone/Fax

Practice location:
  • Phone: 401-846-6620
  • Fax: 401-848-6394
Mailing address:
  • Phone: 401-846-1213
  • Fax: 401-848-6398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN69822
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCAPRN04068
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: