BEAVERCREEK DERMATOLOGY LLC NPI 1265535140

NPI Details

BEAVERCREEK DERMATOLOGY LLC is a nurse practitioner in Beavercreek, OH. The provider is (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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. BEAVERCREEK DERMATOLOGY LLC NPI is 1265535140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3572 DAYTON-XENIA RD
SUITE 105
BEAVERCREEK, OH
ZIP 45432-838
Phone: (937) 427-4600
Fax: (937) 427-4520

The provider's authorized official is Kathryn V Balazs .
The authorized official title is Practice Owner Physician and has the following contact phone number (937) 427-4600.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: