Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah Beadles

Individual provider Physician Assistant · NPI 1134968126

Mariah Beadles is a Physician Assistant in Boonville, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

1116 Millis Ave
Boonville, IN 47601-2204
Phone: (812) 897-7404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004581A (IN)

Record details

NPI number1134968126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address1116 Millis Ave, Boonville, IN 47601-2204

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