Dr BEVERLY JOY LA MADRID is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2010.
STATELINE ANESTHESIOLOGISTS SC
1969 W HART RD
BELOIT
WI
535112230
Tel: 6083645355
| Npi | 1962709683 |
| Pac Id | 4486830320 |
| Professional Enrollment Id | I20130716000298 |
| Last Name | LA MADRID |
| First Name | BEVERLY |
| Middle Name | JOY |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | STATELINE ANESTHESIOLOGISTS SC |
| Group Practice Pac Id | 1355353822 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 1969 W HART RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BELOIT |
| State | WI |
| Zip Code | 535112230 |
| Phone Number | 6083645355 |
| Hospital Affiliation Ccn 1 | 520100 |
| Hospital Affiliation Lbn 1 | BELOIT HEALTH SYSTEM |
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| Professional Accepts Medicare Assignment | Y |
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