Individual
BEALIE GRACE CASTOR DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
5660 STRAND CT UNIT A53, NAPLES, FL 34110-3343
(941) 444-0011
(603) 952-3900
Mailing address
2600 WESTHALL LN FL 2, MAITLAND, FL 32751-7102
(407) 200-4776
(407) 303-0580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11001737
FL
363LF0000X
Family Nurse Practitioner
APRN11001737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104828400
—
FL
Enumeration date
10/30/2019
Last updated
08/09/2024
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