Individual
REBEKAH KAYLENE BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8163 W STATE ROAD 56 STE A, WEST BADEN SPRINGS, IN 47469-7706
(812) 936-2425
(812) 936-2599
Mailing address
1645 N DOE VALLEY ROAD, PAOLI, IN 47454
(812) 361-5215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022582
—
IN
Enumeration date
05/15/2018
Last updated
07/24/2024
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