Individual
MRS. BEVERLY ANN TOWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25779 KELLY RD, SUITE C, ROSEVILLE, MI 48066-4973
(586) 774-0700
(586) 774-9841
Mailing address
25779 KELLY RD, SUITE C, ROSEVILLE, MI 48066-4973
(586) 774-0700
(586) 774-9841
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704135814
MI
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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