Healthcare Provider Details

I. General information

NPI: 1861023137
Provider Name (Legal Business Name): ANDREW BEARD FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2020
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 S CASCADE AVE
MONTROSE CO
81401-3921
US

IV. Provider business mailing address

16 S CASCADE AVE
MONTROSE CO
81401-3921
US

V. Phone/Fax

Practice location:
  • Phone: 970-235-1297
  • Fax: 970-235-1298
Mailing address:
  • Phone: 970-235-1297
  • Fax: 970-235-1298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1636065
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0995355
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: