IndividualActive
Cory Beemer, RN
NPI 1093425159 · Emergency Registered Nurse · Fort Defiance, AZ
Provider details
- NPI number
- 1093425159
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125161 (AR)
Specialties & taxonomies
Nursing Service Providers
Practice location
Corner Route 7 and Route 12
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Approximate (ZIP-level) locationGet directions
Mailing address
1008 N Quail Ter
Rogers, AR 72756-1966
Registry dates
- Enumerated
- 2022-11-30
- Last updated
- 2022-11-30
- Certified
- 2022-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.