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Individual
BEVERLY L FORD
Active
Individual
BEVERLY L FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0024167141
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001097856
LICENSE RN
VI
01
—
0017138706
LICENSED NP
VA
01
—
0024167141
VA STATE LICENSE
VA
Enumeration date
11/21/2006
Last updated
09/18/2008
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