Individual
CAROLYN BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9707 Q ST, OMAHA, NE 68127-3272
(800) 253-4368
Mailing address
9707 Q ST, OMAHA, NE 68127-3272
(800) 253-4368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111948
NE
Other
Enumeration date
12/29/2015
Last updated
03/28/2016
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