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Individual

BEVAN W BRIGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4804 W CLEARWATER AVE, KENNEWICK, WA 99336-2119
(509) 942-2355
(509) 547-0827
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3627
(509) 942-2268

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005530
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0220429
LIWA
WA
01
3079BR
BSWA
WA
01
605960011
USDLAB
05
9633223
WA
Enumeration date
12/27/2005
Last updated
04/26/2021
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