Individual
BEVERLY J NESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15982 QUANTICO RD, SUITE E, APPLE VALLEY, CA 92307-1382
(760) 810-7800
(760) 810-7805
Mailing address
12370 HESPERIA RD, SUITE # 6, VICTORVILLE, CA 92395-7719
(760) 245-4747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A46679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A466790
—
CA
01
—
080054200
RAILROAD MEDICARE
CA
Enumeration date
08/31/2006
Last updated
02/01/2012
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