Healthcare Provider Details

I. General information

NPI: 1447166970
Provider Name (Legal Business Name): NEW LEAF WOMEN'S CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 W 38TH ST
ANDERSON IN
46013-4019
US

IV. Provider business mailing address

417 W 38TH ST
ANDERSON IN
46013-4019
US

V. Phone/Fax

Practice location:
  • Phone: 765-274-5021
  • Fax: 812-356-6387
Mailing address:
  • Phone: 765-274-5021
  • Fax: 812-356-6387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NIKIA BEESON
Title or Position: NURSE PRACTITIONER/OWNER
Credential: NP
Phone: 765-274-5021