Individual
BEVERLY ANN SHIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
37 PARK LANE COURT, WILLIAMSVILLE, NY 14221-5018
(716) 632-3455
Mailing address
37 PARK LANE COURT, WILLIAMSVILLE, NY 14221-5018
(716) 632-3455
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
286382
NY
363LS0200X
School Nurse Practitioner
286382
NY
Other
Enumeration date
12/13/2013
Last updated
02/16/2015
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