person
Omolola Beaird
Primary Care Nurse Practitioner in South Bend, Indiana
NPI 1558960179

Omolola Beaird is a Primary Care Nurse Practitioner based in Atlanta, IN and is specialized in Primary Care. Omolola Beaird practices in South Bend, IN. The NPI Number for Omolola Beaird is 1558960179 and holds a License No. 28207413A (Indiana).

The current practice location address for Omolola Beaird is 4401 W Western Ave Ste C, South Bend, IN and can be reached out via phone at 574-725-7006 and via fax at 574-807-9614.

Location: 4401 W Western Ave Ste C, South Bend, IN, 30374-6720
person
Provider Profile Details
NPI Number
1558960179
Provider Name
Omolola Beaird
Credential
Provider Entity Type
Individual
Gender
Female
Address
4401 W Western Ave Ste C, South Bend, IN, 30374-6720
Phone Number
574-725-7006
Fax Number
574-807-9614
Provider Enumeration Date
10/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4401 W Western Ave Ste C
City
State
Zip
46619-2645
Phone Number
574-725-7006
Fax Number
574-807-9614
person
Provider Business Mailing Address Details
Address
4401 W Western Ave Ste C
City
State
Zip
46619-2645
Phone Number
574-725-7006
Fax Number
574-807-9614
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
28207413A (Indiana)
Definition
Definition to come...
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