Mae Beavers LPN

NPI 1629265467 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1629265467
Gender Female
Enumeration Date 09/25/2007
Last Updated 09/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
150 RAVINE AVE
APT 2B
YONKERS NY, 10701-2170, US
Phone (914) 966-1495
Fax
Business Location
150 RAVINE AVE
APT 2B
YONKERS NY, 10701-2170, US
Phone (914) 966-1495
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 235263-1
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According to our database, Mrs. Mae Beavers LPN NPI is 1629265467, taxonomy code is 164W00000X and license number is 235263-1, license state is located at New York. Mae Beavers LPN physically located at 150 Ravine Ave, Yonkers NY, 10701-2170. NPI Number Mae Beavers LPN has the Individual type.

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1629265467 NPI number is provided on an as is basis without warranty of any kind. 1629265467 is maintained by the National Plan & Provider Enumeration System. The contents of Mae Beavers LPN are for informational purposes only.