Provider Demographics
NPI:1588902951
Name:BEARD, ERYN NICOLE (WHNP-BC)
Entity type:Individual
Prefix:
First Name:ERYN
Middle Name:NICOLE
Last Name:BEARD
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:ERYN
Other - Middle Name:NICOLE
Other - Last Name:BOYET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:2435 W. OAK SUITE 201
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201
Mailing Address - Country:US
Mailing Address - Phone:940-891-3600
Mailing Address - Fax:940-891-3606
Practice Address - Street 1:2435 W OAK ST STE 201
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2308
Practice Address - Country:US
Practice Address - Phone:940-891-3600
Practice Address - Fax:940-891-3606
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX718350363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health