Provider Demographics
NPI:1649547274
Name:BEELER, MARLA A (MSN, FN-C, APRN)
Entity type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:A
Last Name:BEELER
Suffix:
Gender:F
Credentials:MSN, FN-C, APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7906
Mailing Address - Fax:615-920-8938
Practice Address - Street 1:207 SPARKS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3739
Practice Address - Country:US
Practice Address - Phone:812-280-1419
Practice Address - Fax:812-280-1451
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28145197A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner