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Individual

BEVERLY A BAYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
830 PENNSYLVANIA AVE STE 301, CHARLESTON, WV 25302-3390
(304) 346-4455
(304) 346-4457
Mailing address
830 PENNSYLVANIA AVE STE 301, CHARLESTON, WV 25302-3390
(304) 346-4455
(304) 346-4457

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28283
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2601379000
WV
01
28283
STATE LICENSE#
WV
Enumeration date
03/02/2007
Last updated
10/14/2010
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