Smith, Beverly A

Smith, Beverly A is an individual health care provider with primary practice located at 500 W River Dr , Davenport IA 52801-1014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Smith, Beverly A can be contacted via phone (563) 336-3000.

Contact Information

Primary practice address
500 W River Dr Davenport IA 52801-1014
Phone: (563) 336-3000
Fax: (563) 336-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C030799 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Illinois

Profile Details

NPI number 1275529430
LBN Legal business name Smith, Beverly A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 7th, 2023 - about 2 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 1275529430 NPPES
Other S53434 UPIN
Other 02874 UPIN
Other 42106072440 UPIN
Other IA0140 UPIN
Other 93327 UPIN
Other 93357 UPIN
Other 079471 UPIN
Other 5200098 UPIN

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