Individual
BEVERLY WHITEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
40 ALLEN ST., BROCKPORT, NY 14420
(585) 637-1842
(585) 637-1864
Mailing address
3226 N MAIN STREET RD, HOLLEY, NY 14470-9328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
272186-1
NY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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