Provider Demographics
NPI:1568009231
Name:BIJOY, BEENA K (FNP-BC , RN)
Entity Type:Individual
Prefix:MRS
First Name:BEENA
Middle Name:K
Last Name:BIJOY
Suffix:
Gender:F
Credentials:FNP-BC , RN
Other - Prefix:MRS
Other - First Name:BEENA
Other - Middle Name:K
Other - Last Name:BIJOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:10305 NW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1617
Mailing Address - Country:US
Mailing Address - Phone:754-246-8414
Mailing Address - Fax:
Practice Address - Street 1:10305 NW 6TH STREET
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:754-246-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2019051192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily