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Individual

BEVERLY ANNE MONTALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
584 HOSPITAL DR NE UNIT E, BOLIVIA, NC 28422-0020
(910) 662-9500
(910) 662-9501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9500
(910) 662-9501

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010115
NC
363LF0000X
Family Nurse Practitioner
Primary
5010115
NC

Other

Enumeration date
06/27/2007
Last updated
09/28/2021
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