Individual provider · NPI-1

Olivia Beardsley

Physician Assistant · Glen Burnie, MD

NPI number1174202105
StatusActive
Last updated in NPPESNov 2, 2026

Details

NPI
1174202105
Entity type
Individual (NPI-1)
Name
Olivia Beardsley
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2023
Certification date
Nov 2, 2026
Last updated
Nov 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantC0010470MDYes

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone 410-787-4000

Mailing address

304 Pinewood Dr
Apex, NC 27502-1642

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