Christy, Beverly Ann

Christy, Beverly Ann is an individual health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Christy, Beverly Ann can be contacted via phone (573) 221-5250.

Contact Information

Primary practice address
100 Medical Dr Hannibal MO 63401-6877
Fax: (573) 231-3706
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011008570 Missouri

Profile Details

NPI number 1821231002
LBN Legal business name Christy, Beverly Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2009
Last updated Aug 6th, 2018 - about 7 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 1821231002 NPPES
Missouri MEDICAID 1821231002

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