Spence, Beverly

Spence, Beverly is an individual health care provider with primary practice located at 164 Pennsylvania Ave , Brooklyn NY 11207. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Spence, Beverly can be contacted via phone (347) 715-6599.

Contact Information

Primary practice address
164 Pennsylvania Ave Brooklyn NY 11207
Phone: (347) 715-6599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2351481 New York

Profile Details

NPI number 1952596470
LBN Legal business name Spence, Beverly
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 18 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 1952596470 NPPES
New York MEDICAID 01864777

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