Individual
DR. BEVERLY ANN NUCHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, PHD
Contact information
Practice address
20103 LAKE CHABOT RD, EDEN MEDICAL CENTER EMPLOYEE HEALTH CLINIC, CASTRO VALLEY, CA 94546-5305
(510) 889-5067
(510) 537-1443
Mailing address
20103 LAKE CHABOT RD, EDEN MEDICAL CENTER EMPLOYEE HEALTH CLINIC, CASTRO VALLEY, CA 94546-5305
(510) 889-5067
(510) 537-1443
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
257198
CA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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