Provider Demographics
NPI:1508083411
Name:BEILSTEIN, LINDA SUE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:BEILSTEIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:SUE
Other - Last Name:TATARKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-746-9400
Mailing Address - Fax:330-746-9401
Practice Address - Street 1:6505 MARKET ST BLDG A1
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-3457
Practice Address - Country:US
Practice Address - Phone:307-468-0403
Practice Address - Fax:330-746-6778
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.05938-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner