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Individual

HEATHER L BEATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
714 N SENATE AVE, SUITE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6402
(317) 715-6415
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001143A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300012592
IN
Enumeration date
12/03/2009
Last updated
05/13/2025
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