Individual
BETH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2094 ALBANY POST RD, MONTROSE, NY 10548-1454
(914) 737-4400
Mailing address
895 WOLCOTT AVE, BEACON, NY 12508-4092
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304867
NC
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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