Individual
ELLERY ANNE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 CLEARVISTA DR STE 5100, INDIANAPOLIS, IN 46256-1868
(317) 621-9210
(317) 621-9211
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
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
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