Individual provider · Type 1 NPI
Patricia Bevlock
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1760699565
Active
Practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN518787L (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP009422 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1760699565
Patricia Bevlock's National Provider Identifier is 1760699565, issued on May 17, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 6, 2019.