Individual
MRS. HANNAH ELAINE BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM CPM
Contact information
Practice address
1818 BOISE DR, ODESSA, TX 79762-2105
(432) 425-6411
Mailing address
1818 BOISE DR, ODESSA, TX 79762-2105
(432) 425-6411
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99372
MIDWIFERY LICENSE NUMBER
TX
Enumeration date
03/25/2019
Last updated
03/25/2019
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