Provider Demographics
NPI:1770032385
Name:BEILMAN, MARIGNY JOANNA (APRN)
Entity type:Individual
Prefix:
First Name:MARIGNY
Middle Name:JOANNA
Last Name:BEILMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 ISABELLA DR UNIT 103
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-4181
Mailing Address - Country:US
Mailing Address - Phone:303-775-2999
Mailing Address - Fax:
Practice Address - Street 1:1450 ISABELLA DR UNIT 103
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-4181
Practice Address - Country:US
Practice Address - Phone:303-775-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11031863363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner