Individual
BEVERLY ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
597 W 11TH ST, PANAMA CITY, FL 32401-2330
(850) 872-4455
(850) 747-5475
Mailing address
597 W 11TH ST, PANAMA CITY, FL 32401-2330
(850) 872-4455
(850) 747-5475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2179012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306407700
—
FL
01
—
Y061X
BLUE CROSS & BLUE SHIELD
—
Enumeration date
03/14/2006
Last updated
07/11/2014
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