Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS BEASTROM, A.A.
ActiveMR. NICHOLAS BEASTROM, A.A. is a Anesthesiologist Assistant healthcare provider located in MAYFILED HEIGHTS, Ohio. NPI 1114245313 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · MAYFILED HEIGHTS, OH
Registration Details
- NPI Number
- 1114245313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2010 (16.212089210159 yrs)
- Last Updated
- Oct 6, 2010
- License
-
67.000167 (OH)
Practice Information
- Address
-
6780 MAYFIELD ROADMAYFILED HEIGHTS, OH, 441242212Browse OH providers · Browse ZIP 44124
- Phone
- 4403124500
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.