Beard, Andrea D.

Beard, Andrea D. is an individual health care provider with primary practice located at 7333 W Jefferson Blvd , Fort Wayne IN 46804-6280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beard, Andrea D. can be contacted via phone (260) 435-7560.

Contact Information

Primary practice address
7333 W Jefferson Blvd Fort Wayne IN 46804-6280
Phone: (260) 435-7560
Fax: (260) 435-7747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004418A Indiana

Profile Details

NPI number 1891049086
LBN Legal business name Beard, Andrea D.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Nov 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891049086 NPPES
Indiana MEDICAID 201153130

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