=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255256798
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTA E BEASLEY RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2026
-----------------------------------------------------
Last Update Date | 08/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | NBHC CRANE BLD 2516 300 HIGHWAY 360
-----------------------------------------------------
City | APO
-----------------------------------------------------
State | AA
-----------------------------------------------------
Zip | 47522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-854-1220
-----------------------------------------------------
Fax | 812-854-1339
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15649 N US HIGHWAY 231
-----------------------------------------------------
City | ODON
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47562-5515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-854-4322
-----------------------------------------------------
Fax | 812-854-1339
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WX0106X
-----------------------------------------------------
Taxonomy Name | Occupational Health Registered Nurse
-----------------------------------------------------
License Number | 28092774
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------