Individual
MRS. PATRICIA JENNIE BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
300227-1
NY
363LW0102X
Women's Health Nurse Practitioner
F420625-1
NY
367A00000X
Advanced Practice Midwife
Primary
F000608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025293702
UNIVERA
NY
01
—
000560239002
BCBS WNY
NY
05
—
01680831
—
NY
01
—
030441930
UNITED HEALTH CARE
NY
01
—
10600600
FIDELIS
NY
01
—
106117CQ
PREFERRED CARE
NY
01
—
1899835
GHI
NY
01
—
420001817
RR MEDICARE
NY
01
—
9512011
IHA
NY
01
—
P010000608
BLUE CHOICE
NY
01
—
P020000608
BCBS ROCHESTER
NY
Enumeration date
12/29/2006
Last updated
04/27/2021
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