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Contact Information

BEVERLY GRISWOLD, FNP-BC
2301 N DR MARTIN LUTHER KING JR BLVD
CLOVIS, NM88101-9401
 Phone: 575-762-4455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BEVERLY GRISWOLD · (Female)

NPI Number 1629776430
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/21/2023
Last updated 05/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 72528
  • TX License # 1111103
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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