Individual
DANA L BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3251 SHAWNEE DR S, BEDFORD, IN 47421-5277
(812) 277-9692
(812) 277-9694
Mailing address
4119 ERIE CHURCH RD, BEDFORD, IN 47421-7619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28124304A
IN
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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