Individual
MS. CYNTHIA M BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
208 RUE LOUIS XIV, LAFAYETTE, LA 70508-5737
(337) 504-5885
(337) 227-6203
Mailing address
208 RUE LOUIS XIV, LAFAYETTE, LA 70508-5737
(337) 504-5885
(337) 227-6203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09808
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2475037
—
LA
01
—
AP09808
STATE BOARD OF NURSING
LA
Enumeration date
04/18/2018
Last updated
04/22/2022
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