Most Relevant Information
Provider Data
| NPI Number: | 1003049321 |
| Provider Name: | PAMELA BEARD LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703078688 |
Most Important Dates
| Enumeration Date: | 09/03/2009 |
| Last Updated: | 09/03/2009 |
Provider Practice Location
33120 FOREST PARK DR
WAYNE
MI
481843312
Practice Location Phone/Fax
| Phone: | 7346343340 |
| Fax: |
Provider Mailing Location
33120 FOREST PARK DR
WAYNE
MI
481843312
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |