Individual provider · Type 1 NPI
Lavina Beveridge, APN 0995188
Family Nurse Practitioner · Eagle, CO
NPI number
1417283250
Active
Practice location
551 Broadway
Eagle, CO 81631
Fax (970) 328-8829
Mailing address
PO Box 1406
Eagle, CO 81631-1406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 112197 (CO) |
| Family Nurse Practitioner Primary | 363LF0000X | 0995188 (CO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417283250
Lavina Beveridge, APN 0995188's National Provider Identifier is 1417283250, issued on Oct 29, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagle, CO. The record was last updated on Nov 23, 2019.