Anderson, Beverly L.

Anderson, Beverly L. is an individual health care provider with primary practice located at 1032 College St , Oxford NC 27565-2571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Anderson, Beverly L. can be contacted via phone (919) 693-6541.

Contact Information

Primary practice address
1032 College St Oxford NC 27565-2571
Fax: (919) 693-7396
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 900103 North Carolina

Profile Details

NPI number 1164424404
LBN Legal business name Anderson, Beverly L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 15th, 2015 - about 10 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 1164424404 NPPES
North Carolina MEDICAID 7005176
North Carolina Other 156MF

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