Individual
MRS. TANYA MAE BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
203 SW 8TH ST, REDMOND, OR 97756-2117
(541) 771-0751
(541) 504-5805
Mailing address
PO BOX 2207, REDMOND, OR 97756
(541) 771-0751
(541) 504-5805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200750080NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750080NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274723
—
OR
Enumeration date
07/19/2007
Last updated
03/08/2012
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