IndividualActive
Abby Beedy, PA-C
NPI 1942497037 · Medical Physician Assistant · Maryville, IL
Provider details
- NPI number
- 1942497037
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2007029183 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
20 Professional Park Dr Ste B
Maryville, IL 62062-5830
Phone: (618) 288-1480
Fax: (616) 288-2407
Approximate (ZIP-level) locationGet directions
Mailing address
20 Professional Park, #b
Maryville, IL 62062
Registry dates
- Enumerated
- 2007-10-02
- Last updated
- 2012-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.