Individual
MS. LINDA BEAVERSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, OBC
Contact information
Practice address
3512 DRESAGE CT, FLOWER MOUND, TX 75022-4793
(817) 915-8257
Mailing address
3512 DRESAGE CT, FLOWER MOUND, TX 75022-4793
(817) 915-8257
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
554742
TX
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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