Provider Demographics
NPI:1336884634
Name:BEELER, MEAGAN KRISTINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:KRISTINE
Last Name:BEELER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:KIRSTINE
Other - Last Name:HITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 N MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46173
Mailing Address - Country:US
Mailing Address - Phone:765-932-7081
Mailing Address - Fax:765-932-7582
Practice Address - Street 1:323 CONRAD HARCOURT WAY
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IN
Practice Address - Zip Code:46173
Practice Address - Country:US
Practice Address - Phone:765-932-7081
Practice Address - Fax:765-932-7582
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28239687A163W00000X
IN71012679A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse