Individual
MRS. ANN BEAVER WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1706 S CANNON BLVD, KANNAPOLIS, NC 28083-6104
(704) 933-3212
Mailing address
284 EXECUTIVE PARK DR., STE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043582
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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