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Individual

BEVERLY I HUEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3821 FORRESTGATE DR, WINSTON SALEM, NC 27103-2930
(336) 448-9100
(336) 448-5282
Mailing address
3821 FORRESTGATE DR, WINSTON SALEM, NC 27103-2930
(336) 448-9100
(336) 448-5282

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
3426
SC
363LW0102X
Women's Health Nurse Practitioner
Primary
5014220
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1967
SC
Enumeration date
02/06/2007
Last updated
04/15/2021
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