Individual
BEVERLY DEBRUYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 949-8905
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200081
MA
Other
Enumeration date
09/22/2009
Last updated
12/22/2017
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