Most Relevant Information
Provider Data
| NPI Number: | 1003209602 |
| Provider Name: | COURTNEY BEAM FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 28184875A |
Most Important Dates
| Enumeration Date: | 03/06/2015 |
| Last Updated: | 01/28/2021 |
Provider Practice Location
4527 E 82ND ST
INDIANAPOLIS
IN
462501670
Practice Location Phone/Fax
| Phone: | 3175881200 |
| Fax: |
Provider Mailing Location
4527 E 82ND ST
INDIANAPOLIS
IN
462501670
Provider Mailing Phone/Fax
| Phone: | 3175281200 |
| Fax: | 3175281203 |