Individual
MRS. ANDREA D. BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-7560
(260) 435-7747
Mailing address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-7560
(260) 435-7747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004418A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201153130
—
IN
Enumeration date
11/09/2012
Last updated
11/02/2021
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