Beasley, Erin G

Beasley, Erin G is an individual health care provider with primary practice located at 74-5214 Keanalehu Dr , Kailua Kona HI 96740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beasley, Erin G can be contacted via phone (808) 355-5600.

Contact Information

Primary practice address
74-5214 Keanalehu Dr Kailua Kona HI 96740
Phone: (808) 355-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9370679 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-2006 Hawaii

Profile Details

NPI number 1669802310
LBN Legal business name Beasley, Erin G
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2013
Last updated Feb 26th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669802310 NPPES
Hawaii MEDICAID 803024

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