Individual
EDWARD BEVILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 9411, PAHRUMP, NV 89060-9411
(760) 547-4547
Mailing address
PO BOX 9411, PAHRUMP, NV 89060-9411
(760) 547-4547
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-6144
NV
225400000X
Rehabilitation Practitioner
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/08/2025
Last updated
06/20/2025
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