Provider Demographics
NPI:1467612051
Name:MCBEAN, RITA MARIE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARIE
Last Name:MCBEAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:MARIE
Other - Last Name:POTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:196 S INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9175
Mailing Address - Country:US
Mailing Address - Phone:734-944-3446
Mailing Address - Fax:734-316-2093
Practice Address - Street 1:196 S INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-9175
Practice Address - Country:US
Practice Address - Phone:734-944-3446
Practice Address - Fax:734-316-2093
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704249249163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse