Beardsley, Rebecca Jean

Beardsley, Rebecca Jean is an individual health care provider with primary practice located at 184 Barton St , Buffalo NY 14213-1573. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Beardsley, Rebecca Jean can be contacted via phone (716) 881-6191.

Contact Information

Primary practice address
184 Barton St Buffalo NY 14213-1573
Phone: (716) 881-6191
Fax: (716) 881-6247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337900 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001539 New York

Profile Details

NPI number 1891138988
LBN Legal business name Beardsley, Rebecca Jean
Credentials FNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Oct 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891138988 NPPES
New York MEDICAID 3599048

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