Individual
IRENE BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
913 GALLATIN PIKE S, MADISON, TN 37115-4603
(615) 915-2481
(615) 915-2488
Mailing address
913 GALLATIN PIKE S, MADISON, TN 37115-4603
(615) 915-2481
(615) 915-2488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN0000105493
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
AMERICHOICE
TN
01
—
00000000
UNITED HEALTH CARE
TN
01
—
10070838
AMERIGROUP
TN
01
—
1245225564
NPI
TN
01
—
1295988822
GROUP NPI
TN
01
—
263063462
SERENITY HEALTH CARE
TN
01
—
39093091
MEDICARE
TN
05
—
39093091
—
TN
01
—
4192700
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/13/2005
Last updated
11/07/2008
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