Individual
MS. BEVERLY ANNE GILRAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1970 ROANOKE BLVD, 1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3458
Mailing address
1338 PULASKI ST, SALEM, VA 24153-5511
(540) 387-4517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
001154072
VA
363L00000X
Nurse Practitioner
0017001387
VA
363LF0000X
Family Nurse Practitioner
Primary
0024154072
VA
Other
Enumeration date
04/04/2006
Last updated
12/27/2011
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