Individual
MRS. BEVERLEY ANNE WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18385 LINGERLON AVE, PORT CHARLOTTE, FL 33948-3317
(352) 275-9826
Mailing address
18385 LINGERLON AVE, PORT CHARLOTTE, FL 33948-3317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9172583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003409900
—
FL
01
—
Y06X7
FLORIDA BUE-BCBSFL
—
Enumeration date
03/08/2011
Last updated
12/19/2024
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