Brown, Beverly
Brown, Beverly is an individual health care provider with primary practice located at 1255 Golfview Ave , Bartow FL 33830-6736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brown, Beverly can be contacted via phone (863) 519-3750.Contact Information
Primary practice address
1255 Golfview Ave
Bartow FL 33830-6736
Phone: (863) 519-3750
Fax: (863) 534-7028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP1176052 | Florida |
Profile Details
NPI number | 1316933229 |
---|---|
LBN Legal business name | Brown, Beverly |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Apr 30th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316933229 | NPPES |
Florida | MEDICAID | 765233000 |
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