MEDICARE: MRS. FELICIA ANN BEERS

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
1	175M00000X	Lay Midwife

General Provider Information

NPI Number	:	1629388178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FELICIA ANN BEERS

Provider Business Mailing Address
First Line	:	3779 GREAT MEADOW RD
Second Line	:
City	:	SOUTH WEBSTER
State	:	OH
Zip	:	45682-8903
Country	:	US
Telephone Number	:	740-778-2974
Fax Number	:

Provider Business Practice Location Address
First Line	:	3779 GREAT MEADOW RD
Second Line	:
City	:	SOUTH WEBSTER
State	:	OH
Zip	:	45682-8903
Country	:	US
Telephone Number	:	740-778-2974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	10/18/2010

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