Individual provider · Type 1 NPI

Angel Shelton Beavers

Family Nurse Practitioner · Bedford, VA

NPI number 1720404205 Active

Practice location

1613 Oakwood St
Bedford, VA 24523-1213

Mailing address

6255 Bethany Road
Rustburg, VA 24588

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001178518 (VA)
Family Nurse Practitioner Primary 363LF0000X0024171546 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1720404205

Angel Shelton Beavers's National Provider Identifier is 1720404205, issued on Mar 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bedford, VA. The record was last updated on Jan 19, 2023.