Individual
BEVERLY CHARLIER COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P., R.N.
Contact information
Practice address
119 BULIFANTS BLVD, WILLIAMSBURG, VA 23188-5709
(757) 564-7337
(757) 564-3205
Mailing address
119 BULIFANTS BLVD, WILLIAMSBURG, VA 23188-5747
(757) 564-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024074650
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010140960
—
VA
01
—
71404N
SENTARA
—
Enumeration date
06/03/2006
Last updated
02/22/2013
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