Individual
BEVERLY HALL BORCHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BRAKEFIELD ST, SLIDELL, LA 70458-3617
(985) 643-5166
Mailing address
96 MAYERS TRCE, SLIDELL, LA 70460-3298
(985) 774-4890
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1034549
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01102022
—
LA
Enumeration date
05/10/2022
Last updated
05/10/2022
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