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NPI Code Detail

MEDICARE: JANET R BEARDSLEY ANP-C

MEDICARE:   JANET R BEARDSLEY  ANP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeAM082067ME
2363LA2200XAdult Health Nurse PractitionerCNP121073ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528097763
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET R BEARDSLEY ANP-C
Provider Business Mailing Address
First Line : 410 ROOSEVELT TRL
Second Line :
City : NAPLES
State : ME
Zip : 04055-5329
Country : US
Telephone Number : 207-693-6106
Fax Number : 207-693-4026
Provider Business Practice Location Address
First Line : 410 ROOSEVELT TRL
Second Line :
City : NAPLES
State : ME
Zip : 04055-5329
Country : US
Telephone Number : 207-693-6106
Fax Number : 207-693-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 11/29/2016

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Directions to “ JANET R BEARDSLEY ANP-C” Practice Location

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