Provider Demographics
NPI:1326912288
Name:JOSEPH, BEENA VAKANIPPUZHA (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BEENA
Middle Name:VAKANIPPUZHA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PMHNP-BC
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Other - Credentials:
Mailing Address - Street 1:409 HENDRIX ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-2422
Mailing Address - Country:US
Mailing Address - Phone:610-492-9193
Mailing Address - Fax:215-883-4476
Practice Address - Street 1:6523 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2816
Practice Address - Country:US
Practice Address - Phone:610-492-9193
Practice Address - Fax:215-883-4476
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP034027363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health