# BONITA C BEARDSLEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083605950
- **Gender:** F
- **Credential:** CNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | COA06472NS | OH | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 07/14/2010
