Individual
BEVERLY LA MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60404033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538581210
—
WA
01
—
P01421057
RR MEDICARE
WA
Enumeration date
01/14/2014
Last updated
02/01/2022
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