Provider Demographics
NPI:1558243196
Name:BEASLEY, ADITI RAMMOHAN (DNP, APRN, CNP-PC)
Entity type:Individual
Prefix:
First Name:ADITI
Middle Name:RAMMOHAN
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:DNP, APRN, CNP-PC
Other - Prefix:
Other - First Name:ADITI
Other - Middle Name:RAMMOHAN
Other - Last Name:NARAYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:410 CANDLER PARK DR NE APT G3
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2146
Mailing Address - Country:US
Mailing Address - Phone:978-821-2745
Mailing Address - Fax:
Practice Address - Street 1:410 CANDLER PARK DR NE APT G3
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2146
Practice Address - Country:US
Practice Address - Phone:978-821-2745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN315075363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty