NPI 1093712002
Mary a Beam, CRNA
Practice location
- Address
- 1800 E Lake Shore Dr, Decatur, IL 62521-3810
- Phone
- (217) 464-2729
- Fax
- (217) 464-1693
- Mailing address
- 236 S. 6th Street, Riverton, IL 62561
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1093712002
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jul 2005
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.