Individual
BEVERLY A MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 797-6800
Mailing address
306 PHILLIPS ST, ONEIDA, NY 13421-1208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
331643
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331643
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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