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
Fax: (863) 534-7028
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316933229 NPPES
Florida MEDICAID 765233000

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