Bean, Keriea Tia

Bean, Keriea Tia is an individual health care provider with primary practice located at 2395 S Washington Ave Ste 1 , Titusville FL 32780-4702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bean, Keriea Tia can be contacted via phone (321) 385-7979.

Contact Information

Primary practice address
2395 S Washington Ave Ste 1 Titusville FL 32780-4702
Phone: (321) 385-7979
Fax: (321) 385-7978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X APRN11019420 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11019420 Florida

Profile Details

NPI number 1477297190
LBN Legal business name Bean, Keriea Tia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2022
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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