Provider Demographics
NPI:1467753509
Name:BEARDS, CAROLINE FRANCIS (RN,BSN)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:FRANCIS
Last Name:BEARDS
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24624 N CONDUIT AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2200
Mailing Address - Country:US
Mailing Address - Phone:347-687-4547
Mailing Address - Fax:718-805-1538
Practice Address - Street 1:24624 N CONDUIT AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2200
Practice Address - Country:US
Practice Address - Phone:347-680-4547
Practice Address - Fax:718-805-1538
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY405546-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool