Healthcare Provider Details

I. General information

NPI: 1104049253
Provider Name (Legal Business Name): MARGARET ANNE BEVINS RN-C, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 SOUTH MAIN SUITE B
ANTHONY TX
79821-9406
US

IV. Provider business mailing address

8001 N MESA ST SUITE E BOX 304
EL PASO TX
79932-1736
US

V. Phone/Fax

Practice location:
  • Phone: 915-886-4577
  • Fax: 915-886-4579
Mailing address:
  • Phone: 915-886-4577
  • Fax: 915-886-4579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number452956
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: