Individual
MS. BEVERLY EVERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8601 W DODGE RD, SUITE 30, OMAHA, NE 68114-3457
(402) 354-8797
Mailing address
2328 NORTH 104TH CIRCLE, OMAHA, NE 68134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110565
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025175900
—
NE
Enumeration date
08/21/2006
Last updated
07/08/2007
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