Individual
BEVERLY A BENMOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2107 E 12TH ST, DAVENPORT, IA 52803-3706
(563) 362-3312
(563) 726-7369
Mailing address
2107 E 12TH ST, DAVENPORT, IA 52803-3706
(563) 362-3312
(563) 726-7369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A139678
IA
Other
Enumeration date
02/05/2014
Last updated
07/21/2022
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