Individual
BEVERLY MCGILLIVRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-5451
(401) 444-2922
Mailing address
125 WHIPPLE ST, 3RD FLOOR, PROVIDENCE, RI 02908-3258
(401) 444-5451
(401) 444-2922
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN00723
RI
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN00723
RI
Other
Enumeration date
09/10/2015
Last updated
06/09/2016
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