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NPI Profile for KRISTEN BEVERLY in GREENVILLE, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1194258319 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/05/2017 | |
| Last updated | 08/27/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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KRISTEN BEVERLY
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KRISTEN BEVERLY, NP