Provider Demographics
NPI:1437584729
Name:BEYERLE, BARBARA J (APRN)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:J
Last Name:BEYERLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BOBBIE JO
Other - Middle Name:
Other - Last Name:BEYERLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:609 KAILUA RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2839
Mailing Address - Country:US
Mailing Address - Phone:808-261-8537
Mailing Address - Fax:
Practice Address - Street 1:609 KAILUA RD
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2839
Practice Address - Country:US
Practice Address - Phone:808-261-8537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71004610A363LF0000X
HI1878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily