Individual
VALERIE BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5315 W 12TH ST, LITTLE ROCK, AR 72204-1858
(501) 664-0941
(501) 666-3956
Mailing address
1901 BISCAYNE DR, LITTLE ROCK, AR 72227-3951
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A003866
AR
Other
Enumeration date
04/12/2013
Last updated
01/20/2020
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