Keriea Tia Bean
Keriea Tia Bean is a Nurse Practitioner in Titusville, Florida. Qualified in 2021, 5 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2395 S Washington Ave Ste 1Titusville, FL 32780-4702
Phone: (321) 385-7979
Fax: (321) 385-7978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence APRN11019420 (FL) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence APRN11019420 (FL) |
Record details
| NPI number | 1477297190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 27, 2022 |
| Last updated in NPPES | August 19, 2022 |
| Certification date | August 17, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Aqua Dermatology Of Florida, Pa — 184 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Titusville
-
Betsy Cooduvalli, DO
500 N Washington Ave Ste 109, Titusville, FL 32796 · (321) 768-1600