Individual
MS. NICOLE BEVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
702 E YOUNG AVE, WARRENSBURG, MO 64093-9610
(800) 525-1483
Mailing address
1253 VIVIAN DR, WARRENSBURG, MO 64093-7866
(208) 869-8004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1411A
ID
Other
Enumeration date
05/02/2014
Last updated
11/13/2015
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