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NPI Code Detail

MEDICARE: ELLERY ANNE BEARD

MEDICARE: ELLERY ANNE BEARD
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
1363LW0102XWomen's Health Nurse Practitioner71011942AIN

General Provider Information

NPI Number : 1831853712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLERY ANNE BEARD
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7120 CLEARVISTA DR STE 5100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1868
Country : US
Telephone Number : 317-621-9210
Fax Number : 317-621-9211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2021
Last Update Date : 02/23/2026

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Directions to “ ELLERY ANNE BEARD ” Practice Location

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