Individual
MS. BEVERLY LYNNE AZEMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-5785
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007630
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568427
GATEWAY-WMG
PA
01
—
203882
JOHNS HOPKINS
PA
01
—
50059478
CAPITAL BLUE CROSS-WMG
PA
01
—
884936
CAREFIRST MD BCBS
MD
Enumeration date
06/23/2006
Last updated
12/12/2012
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