Individual
LAVINA BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN 0995188
Contact information
Practice address
551 BROADWAY, EAGLE, CO 81631
(970) 328-8840
(970) 328-8829
Mailing address
PO BOX 1406, EAGLE, CO 81631-1406
(970) 390-8344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112197
CO
363LF0000X
Family Nurse Practitioner
Primary
0995188
CO
Other
Enumeration date
10/29/2009
Last updated
11/23/2019
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