Provider Demographics
NPI:1770179095
Name:BEALS, NAOMI JOY
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:JOY
Last Name:BEALS
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 1:2685 INDIAN RUN RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-7834
Mailing Address - Country:US
Mailing Address - Phone:740-525-0989
Mailing Address - Fax:
Practice Address - Street 1:329 E SPRING ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2439
Practice Address - Country:US
Practice Address - Phone:740-525-0989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health