Provider Demographics
NPI:1629388178
Name:BEERS, FELICIA ANN
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:ANN
Last Name:BEERS
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 1:3779 GREAT MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEBSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45682-8903
Mailing Address - Country:US
Mailing Address - Phone:740-778-2974
Mailing Address - Fax:
Practice Address - Street 1:3779 GREAT MEADOW RD
Practice Address - Street 2:
Practice Address - City:SOUTH WEBSTER
Practice Address - State:OH
Practice Address - Zip Code:45682-8903
Practice Address - Country:US
Practice Address - Phone:740-778-2974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay