Provider Demographics
NPI:1497934418
Name:BEERMAN, PASTORA AMPARO (APRN, BC)
Entity Type:Individual
Prefix:
First Name:PASTORA
Middle Name:AMPARO
Last Name:BEERMAN
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 N POINT PKWY STE 89
Mailing Address - Street 2:D-1
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1150
Mailing Address - Country:US
Mailing Address - Phone:770-777-0129
Mailing Address - Fax:678-580-0908
Practice Address - Street 1:5755 N POINT PKWY STE 89
Practice Address - Street 2:D-1
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1150
Practice Address - Country:US
Practice Address - Phone:770-777-0129
Practice Address - Fax:678-580-0908
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN100419363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care