Individual
KATRINA JEAN BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8115
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8115
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28237337A
IN
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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