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NPI Code Detail

MEDICARE: CHARMAINE DENISE BEVERLY

MEDICARE: CHARMAINE DENISE BEVERLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion
23747A0650XAttendant Care Provider
3376J00000XHomemaker
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1033771951
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARMAINE DENISE BEVERLY
Provider Business Mailing Address
First Line : 2235 E FLAMINGO RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5189
Country : US
Telephone Number : 702-862-4942
Fax Number : 702-825-0595
Provider Business Practice Location Address
First Line : 2235 E FLAMINGO RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5189
Country : US
Telephone Number : 702-862-4942
Fax Number : 702-825-0595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 01/10/2022

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Directions to “ CHARMAINE DENISE BEVERLY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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