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Individual
MRS. BEVERLY JANE WADDELL
Active
Individual
MRS. BEVERLY JANE WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, GCNS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN129155
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
APN13413
TN
364SG0600X
Gerontology Clinical Nurse Specialist
13413
TN
Other
Enumeration date
04/22/2008
Last updated
11/18/2014
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