Doctor Name: | CHRISTINE BEAIRD |
NPI Number: | 1063768646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A115067 |
Business Practice Address: | 1229 C Ave E Oskaloosa, IA - 525774246 |
Business Phone Number: | 6416723100 |
Business Fax Number: | |
Mailing Address: | 522 E Competine St, KNOXVILLE |
State: | IA |
Postal Code: | 501382123 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/01/2012 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A115067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |