Provider Demographics
NPI:1760909766
Name:BEYLIN, TRISHA LORRAINE (APRN)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:LORRAINE
Last Name:BEYLIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 NEWFOUND HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-2759
Mailing Address - Country:US
Mailing Address - Phone:321-749-1175
Mailing Address - Fax:
Practice Address - Street 1:2404 N COURTENAY PKWY STE D
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4127
Practice Address - Country:US
Practice Address - Phone:321-275-6750
Practice Address - Fax:888-268-0237
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9248931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily