Individual
MISS BEVERLY ANNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 WEST 28TH AVENUE, PINE BLUFF, AR 71603-5054
(870) 534-8304
(870) 534-8407
Mailing address
PO BOX 2260, PINE BLUFF, AR 71613-2260
(870) 534-8304
(870) 534-8407
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
283
AR
237700000X
Hearing Instrument Specialist
5633
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2P0195
ARK REHABILITATION SERVIC
AR
01
—
49875
ARKANSAS BLUE CROSS BLUE
AR
Enumeration date
06/07/2007
Last updated
08/13/2020
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