Organization · Type 2 NPI
Beavercreek Dermatology LLC
Nurse Practitioner · Beavercreek, OH
Practice location
3572 Dayton-Xenia Rd, Suite 105
Beavercreek, OH 45432-2838
Fax (937) 427-4520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in Beavercreek
About NPI 1265535140
Beavercreek Dermatology LLC's National Provider Identifier is 1265535140, issued on Sep 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beavercreek, OH. The record was last updated on Sep 11, 2025.