Individual
ELLERY ANNE BEARD
Active
Individual
ELLERY ANNE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PENDING
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
71011942A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300128573
—
IN
Enumeration date
10/26/2021
Last updated
05/08/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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