Individual
MRS. BEVERLY YESHION ROETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
128 E BRANDON BLVD, BRANDON, FL 33511-5219
(813) 829-0133
(813) 681-4391
Mailing address
128 E BRANDON BLVD, BRANDON, FL 33511-5219
(813) 829-0133
(813) 681-4391
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 1075742
FL
Other
Enumeration date
10/03/2006
Last updated
03/02/2017
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