Healthcare Provider Details

I. General information

NPI: 1760318208
Provider Name (Legal Business Name): EMILY GRACE BEDON MSN, ARNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8645 N MILITARY TRL STE 512
WEST PALM BEACH FL
33410-6296
US

IV. Provider business mailing address

3400 GARDENS EAST DR APT 6B
PALM BEACH GARDENS FL
33410-4954
US

V. Phone/Fax

Practice location:
  • Phone: 561-405-5540
  • Fax:
Mailing address:
  • Phone: 561-699-9489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number11050491
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: