Provider Demographics
NPI:1033969670
Name:BEARD, OLGA RENEA
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:RENEA
Last Name:BEARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 CALL PL SE APT B1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6209
Mailing Address - Country:US
Mailing Address - Phone:202-575-0849
Mailing Address - Fax:
Practice Address - Street 1:4950 CALL PL SE APT B1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6209
Practice Address - Country:US
Practice Address - Phone:202-575-0849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant