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Individual

MRS. BEVERLY ELIZABETH GEORGE-GAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
1200 W CARY ST, RICHMOND, VA 23220-5410
(804) 359-9375
Mailing address
11824 CLUB RIDGE DR, CHESTER, VA 23836-2752
(804) 943-1395

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024176394
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024176394
LICENSE TO PRACTICE AS A NURSE PRACTITIONER
VA
01
2018010120
AMERICAN NURSES CREDENTIALING CENTER CERTIFICATION
Enumeration date
05/14/2019
Last updated
06/11/2019
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