Individual
GINA DENISE BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
11145 LEO COLLINS DR, EL PASO, TX 79936-4630
(915) 240-9742
Mailing address
PO BOX 220946, EL PASO, TX 79913-2946
(915) 240-9742
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1135156
TX
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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