Individual
BEVERLY C. TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8777 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 736-5151
Mailing address
8777 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 736-5151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71000372A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200296620
—
IN
Enumeration date
08/10/2005
Last updated
07/16/2013
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