Provider Demographics
NPI:1154778868
Name:BEASLEY, ANIKA (MED)
Entity type:Individual
Prefix:MS
First Name:ANIKA
Middle Name:
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7071 WHITMORE PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-2667
Mailing Address - Country:US
Mailing Address - Phone:504-231-1197
Mailing Address - Fax:
Practice Address - Street 1:7071 WHITMORE PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-2667
Practice Address - Country:US
Practice Address - Phone:504-231-1197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator