National Provider Identifier Database

BEVERLY A SMITH, FNP – NPI #1275529430
Pediatrics

Contact Information

BEVERLY A SMITH, FNP
500 W RIVER DR
DAVENPORT, IA  52801-1014
Phone: 563-336-3000
Fax: 563-336-3044
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for BEVERLY A SMITH

NPI Number 1275529430
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/23/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IA License #: C030799
  • Other: 079471 HEALTH ALLIANCE
  • Other: S53434 UPIN
  • IA Other: 5200098 CONTROLLED SUBSTANCE#
  • IA Other: 02874 IA BCBS SEEN IN DAVENPORT
  • IA Other: 93327 IA BCBS SEEN IN MOLINE
  • IA Other: 93357 IA BCBS SEEN IN RI
  • IA Other: IA0140 JOHN DEERE EDI#
  • IA Other: 42106072440 JOHN DEERE HEALTH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BEVERLY A SMITH, FNP

There are currently no reviews for BEVERLY A SMITH, FNP

NPIdb - Home
v2.201