Provider Demographics
NPI:1518966522
Name:BELTRAN, APRIL G (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:G
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:G
Other - Last Name:HEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1702 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-4290
Mailing Address - Country:US
Mailing Address - Phone:850-571-5844
Mailing Address - Fax:850-571-5845
Practice Address - Street 1:1702 OHIO AVE
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-4290
Practice Address - Country:US
Practice Address - Phone:850-571-5844
Practice Address - Fax:505-715-8458
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN129224NP363LF0000X
AL1-173206363LF0000X
FLAPRN11002448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA659744297BMedicaid
GA659744297BMedicaid
GA659744297BMedicaid
GAQ24986Medicare UPIN