Healthcare Provider Details

I. General information

NPI: 1770610743
Provider Name (Legal Business Name): KARI ANN BEARDSLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 N MAIN ST
WARSAW NY
14569-1015
US

IV. Provider business mailing address

100 KINGS HWY S
ROCHESTER NY
14617-5504
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-8350
  • Fax: 585-786-8362
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number420635
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: