Individual
BEVERLY SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1405 SW 59TH AVE, AMARILLO, TX 79118-8314
(806) 787-4679
Mailing address
1405 SW 59TH AVE, AMARILLO, TX 79118-8314
(806) 787-4679
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
231208
TX
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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