Individual
BEVERLEY KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4044
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
252286
CA
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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