Beaver, Mary Alice

Beaver, Mary Alice is an individual health care provider with primary practice located at 202 Medical Campus Dr Ychd, Burnsville NC 28714-9004. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Beaver, Mary Alice can be contacted via phone (828) 682-6118.

Contact Information

Primary practice address
202 Medical Campus Dr Ychd Burnsville NC 28714-9004
Phone: (828) 682-6118
Fax: (828) 682-6262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 023569 North Carolina

Profile Details

NPI number 1720124662
LBN Legal business name Beaver, Mary Alice
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1720124662 NPPES
North Carolina Other 023569 STATE LICENSE NUMBER

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