Healthcare Provider Details

I. General information

NPI: 1386665370
Provider Name (Legal Business Name): DARLENE RUTH BEYA C.N.M
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5108 SANDY LN
FAIRFIELD OH
45014-2738
US

IV. Provider business mailing address

5108 SANDY LN
FAIRFIELD OH
45014-2738
US

V. Phone/Fax

Practice location:
  • Phone: 513-234-5959
  • Fax:
Mailing address:
  • Phone: 513-234-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberCTP04993RX
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberRN254311
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCOA.04993-NM
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: