Provider Demographics
NPI:1477788685
Name:ALFRED, BEANA NMI (RN,BSN,C)
Entity Type:Individual
Prefix:MRS
First Name:BEANA
Middle Name:NMI
Last Name:ALFRED
Suffix:
Gender:F
Credentials:RN,BSN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 POINT CLEAR CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3723
Mailing Address - Country:US
Mailing Address - Phone:281-437-4408
Mailing Address - Fax:281-437-4408
Practice Address - Street 1:2027 POINT CLEAR CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3723
Practice Address - Country:US
Practice Address - Phone:281-437-4408
Practice Address - Fax:281-437-4408
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09548597347C00000X
TX539877372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No347C00000XTransportation ServicesPrivate Vehicle