Provider Demographics
NPI:1053616052
Name:MCBEAIN, JOSEPH DUANE (CRNA)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DUANE
Last Name:MCBEAIN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10100
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-0008
Mailing Address - Country:US
Mailing Address - Phone:970-874-7681
Mailing Address - Fax:
Practice Address - Street 1:236 COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-4401
Practice Address - Country:US
Practice Address - Phone:970-546-4010
Practice Address - Fax:970-546-4016
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0991650CRNA163WP0000X
COAPN.0991650367500000X, 163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered