Provider Demographics
NPI:1790862464
Name:BEARD, ROSEMARY B (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:B
Last Name:BEARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 WINDSOR SPRING RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-4668
Mailing Address - Country:US
Mailing Address - Phone:706-790-0661
Mailing Address - Fax:706-790-2541
Practice Address - Street 1:2420 WINDSOR SPRING RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-4668
Practice Address - Country:US
Practice Address - Phone:706-790-0661
Practice Address - Fax:706-790-2541
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN065919163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse