1306025374 NPI number — FAITH SHERIE BEERMAN MSN ARNPC

Table of content: FAITH SHERIE BEERMAN MSN ARNPC (NPI 1306025374)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306025374 NPI number — FAITH SHERIE BEERMAN MSN ARNPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEERMAN
Provider First Name:
FAITH
Provider Middle Name:
SHERIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN ARNPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BEERMAN
Provider Other First Name:
FAITH
Provider Other Middle Name:
SHERIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN ARNPC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1306025374
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 NW 70TH AVE
Provider Second Line Business Mailing Address:
SUITE 120
Provider Business Mailing Address City Name:
PLANTATION
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33317
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-791-2810
Provider Business Mailing Address Fax Number:
954-791-9810

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 NW 70TH AVE
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
PLANTATION
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-791-2810
Provider Business Practice Location Address Fax Number:
954-791-9810
Provider Enumeration Date:
10/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  ARNP1834752 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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