Individual
JOSHUA BRADLY BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
3700 PIPER ST, ANCHORAGE, AK 99508-4665
(907) 521-1057
Mailing address
PO BOX 872573, WASILLA, AK 99687-2573
(907) 521-1057
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
179537
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179537
ADVANCED PRACTICE REGISTERED NURSE
AK
Enumeration date
07/23/2021
Last updated
07/23/2021
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