Pamela Beard, LPN
Individual provider Active NPI Licensed Practical Nurse · Wayne, MI
NPI 1003049321 · NPPES record last updated Sep 3, 2009
Key facts
- NPI
- 1003049321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703078688 (MI)
- Practice address
- 33120 Forest Park Dr
Wayne, MI 48184-3312 - Phone
- (734) 634-3340
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703078688 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703078688 | MI | Yes |
Addresses
Primary practice location
33120 Forest Park Dr
Wayne, MI 48184-3312
Mailing address
33120 Forest Park Dr
Wayne, MI 48184-3312
Other providers in Wayne, MI
- Brittney Battaglia
- Donna Bauldry
- Sawsan Baydoun
- Danielle Bayless
- Hussein Fouad Bazzy
- Kathleen Rosemarie Bender
- Chris Bensch
- Lisa Bergquist
- Sadie Berthiaume
- Sarah Betts
All providers in Wayne, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.