Individual
BEVERLY A ECHOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2005 TOWN CENTER BLVD, ODENTON, MD 21113-1774
(601) 405-0374
Mailing address
819 REECE RD, SEVERN, MD 21144-7500
(601) 405-0374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R262168
MD
363LF0000X
Family Nurse Practitioner
R857333
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200062
—
MS
01
—
12660742
CAQH
MS
01
—
315084YV3Y
MS MEDICARE
MS
01
—
5803866
AETNA
MS
Enumeration date
06/12/2013
Last updated
09/30/2023
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