Linda Sue Beilstein, CRNP

Individual provider Active NPI Nurse Practitioner · Boardman, OH

NPI 1508083411 · NPPES record last updated Mar 17, 2021

Key facts

NPI
1508083411
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
COA.05938-NP (OH)
Practice address
6505 Market St BLDG A1
Boardman, OH 44512-3457
Phone
(307) 468-0403
Fax
(330) 746-6778
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
COA.05938-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron Past
since Mar 4, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.05938-NP OH Yes

Addresses

Primary practice location

6505 Market St BLDG A1
Boardman, OH 44512-3457

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 746-9400

Other names

  • Miss Linda Sue Tatarka Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lbeilstein10797@direct.chmca.org Direct

Other providers in Boardman, OH

All providers in Boardman, OH · Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.