Individual
KRISTINE BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 EAST 500 SOUTH, BLANDING, UT 84511
(435) 773-3988
Mailing address
730 EAST 500 SOUTH, BLANDING, UT 84511
(435) 773-3988
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
364787915
UT
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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