Provider Demographics
NPI:1700260023
Name:BEARD, NASRIN M (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:NASRIN
Middle Name:M
Last Name:BEARD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:333 N SUMMIT ST FL 7
Mailing Address - Street 2:HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-2615
Mailing Address - Country:US
Mailing Address - Phone:419-252-6018
Mailing Address - Fax:800-564-5952
Practice Address - Street 1:550 S CARLIN SPRINGS RD
Practice Address - Street 2:HEARTLAND CARE PARTNERS
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1022
Practice Address - Country:US
Practice Address - Phone:419-252-6018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171082363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner