Individual
BEVERLY JEAN CRAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1673 MASON AVE, DAYTONA BEACH, FL 32117-5515
(800) 614-4124
Mailing address
540 W LAKE MARY BLVD, SANFORD, FL 32773-7400
(800) 614-4124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9288556
FL
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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