MR. SIDNEY MAX BEASLEY II ANP
NPI 1639290323
Nurse Practitioner - Family in Springdale, AR

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since April 02, 2007

4001 WAGON WHEEL RD, SPRINGDALE, AR 72762(479) 725-3000(479) 725-3098 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2019, Sep 5, 2019 (2 updates tracked since 2019).

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About Mr. Sidney Max Beasley Ii Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SIDNEY MAX BEASLEY II ANP (NPI 1639290323) is an individual family provider in Springdale, Arkansas, licensed in Arkansas (A01629) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639290323

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. SIDNEY MAX BEASLEY IICredential: ANP

Location Address4001 WAGON WHEEL RDSpringdale, AR 72762-0137

Mailing AddressPo Box 1065Lowell, AR 72745-1065 · (479) 725-3000 · Fax (479) 725-3098

Phone(479) 725-3000

Fax(479) 725-3098

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateNovember 4, 20192 updates tracked since enumeration

✔ NPI 1639290323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · A01629

4001 WAGON WHEEL RD, Springdale, AR 72762

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY L. MOFFITT M.D.

Specialist