Individual
LAYLA A BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4810 WHITESPORT CIR SW, SUITE #110, HUNTSVILLE, AL 35801-7419
(256) 539-2531
(256) 533-0490
Mailing address
3016 AZTEC DR SE, DECATUR, AL 35603-5242
(256) 616-3016
(256) 533-0490
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-095870
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-50070
BCBS OF ALABAMA
AL
01
—
515-91763
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-94999
BCBS OF ALABAMA
AL
01
—
515-95001
BCBS OF ALABAMA
AL
01
—
515-95002
BCBS OF ALABAMA
AL
01
—
515-95255
BCBS OF ALABAMA
AL
01
—
515-95256
BCBS OF ALABAMA
AL
05
—
52870110
—
AL
01
—
CA0084
RR MEDICARE
AL
Enumeration date
10/25/2007
Last updated
11/05/2013
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