Individual
MISS VERA ANN BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, PHMNP-BC
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
128553
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704201918
MI
363LF0000X
Family Nurse Practitioner
4704201918
MI
363LF0000X
Family Nurse Practitioner
Primary
R46932
ND
Other
Enumeration date
10/18/2006
Last updated
01/04/2019
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