Individual
MISS BEVERLY MUSTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
10956 DONNER PASS RD, ST 260, TRUCKEE, CA 96161-4861
(530) 582-6400
(530) 582-6991
Mailing address
10956 DONNER PASS RD, ST 260, TRUCKEE, CA 96161-4861
(530) 582-6400
(530) 582-6991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP11152
CA
Other
Enumeration date
06/29/2006
Last updated
02/16/2012
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