NP Lisa Marie Beavers, NPI 1700373289
Family Nurse Practitioner in Milford, DE, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1700373289
NPI Entity Type Individual
Provider Name NP Lisa Marie Beavers
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 810 Seabury Ave, Milford, DE, US
Provider Mailing Address 29703 Vincent Village Dr, Milton, DE, US, 199683804
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. LG-0001179
License State DE
Description Definition to come...

Other Name

CRNP Lisa Marie Dvorak
Former Name

Business Address

NP Lisa Marie Beavers
810 Seabury Ave

Milford, DE, US

Phone: 302-393-2056

Mailing Address

NP Lisa Marie Beavers
29703 Vincent Village Dr
Milton, DE, US
ZIP 199683804
Phone: 302-275-2859

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LF0000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

AC002264 MD No

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1003299843

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

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