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Contact Information

BEVERLY A SMITH, FNP
500 W RIVER DR
DAVENPORT, IA52801-1014
 Phone: 563-336-3000
 Fax: 563-336-3044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BEVERLY A SMITH · (Female)

NPI # 1275529430
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/23/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 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(s) Not Available
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.

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