Individual provider · Type 1 NPI
Angela Beavers
Military Health Care Provider · Auburn Hills, MI
NPI number
1710621024
Active
Practice location
2399 E Walton Blvd
Auburn Hills, MI 48326-1955
Mailing address
1935 Hyde Park Rd
Detroit, MI 48207-3819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1710621024
Angela Beavers's National Provider Identifier is 1710621024, issued on Apr 22, 2022. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Auburn Hills, MI. The record was last updated on Apr 22, 2022.