Bereskie, Toni Ann

Bereskie, Toni Ann is an sole proprietor health care provider with primary practice located at 1220 Willis Ave Box 67, Daytona Beach FL 32114-2810. She recently has 13 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / General Practice, Nursing Service Providers / Case Management, Nursing Service Providers / Home Health, Nursing Service Providers / Hospice, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Military Health Care Provider, Other Service Providers / Contractor, Nursing Service Related Providers / Religious Nonmedical Nursing Personnel. Nursing Service Providers / Home Health is her primary health care specialty. Bereskie, Toni Ann can be contacted via phone (570) 875-7858.

Contact Information

Primary practice address
1220 Willis Ave Box 67 Daytona Beach FL 32114-2810
Phone: (570) 875-7858
Fax: (570) 875-2250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP 3276542 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN249960L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X ANCC 0270519-01 Pennsylvania
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X ANCC 0270519-01 Pennsylvania
Nursing Service Providers / General Practice 163WG0000X RN249960L Pennsylvania
Nursing Service Providers / Case Management 163WC0400X ANCC 0270519-01 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RN193789 CNS/PMH Georgia
Nursing Service Providers / Home Health 163WH0200X RN249960L Pennsylvania
Nursing Service Providers / Hospice 163WH1000X RN249960L Pennsylvania
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN249960L Pennsylvania
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN249960L Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ANCC 0270519-01 Pennsylvania
Other Service Providers / Military Health Care Provider 171000000X ANCC 0270519-01
Other Service Providers / Contractor 171W00000X ANCC 0270519-01
Nursing Service Related Providers / Religious Nonmedical Nursing Personnel 374T00000X ANCC 0270519-01

Profile Details

NPI number 1376600437
LBN Legal business name Bereskie, Toni Ann
Credentials APRN,BC,MSN,MBA,CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Jun 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376600437 NPPES
Other 11697378 CAQH, AARP UNITED HEALTH CARE INSURANCE
Other 103583336 CAQH, AARP UNITED HEALTH CARE INSURANCE

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