Individual
BEVERLY L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1032 COLLEGE ST, OXFORD, NC 27565-2571
(919) 693-6541
(919) 693-7396
Mailing address
1032 COLLEGE ST, OXFORD, NC 27565-2571
(919) 693-6541
(919) 693-7396
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156MF
BCBS
NC
05
—
7005176
—
NC
Enumeration date
06/01/2005
Last updated
04/15/2015
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