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NPI Code Detail

MEDICARE: BEVERLY ANN COLLINS FNP

MEDICARE: BEVERLY ANN COLLINS FNP
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
1363LG0600XGerontology Nurse Practitioner0006-00107NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1500010194OTHERRAILROAD MEDICARE B

General Provider Information

NPI Number : 1477551919
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY ANN COLLINS FNP
Provider Business Mailing Address
First Line : PO BOX 2570
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28793-2570
Country : US
Telephone Number : 828-693-4431
Fax Number : 828-693-4434
Provider Business Practice Location Address
First Line : 510 BALSAM RD
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-5703
Country : US
Telephone Number : 828-693-4431
Fax Number : 828-693-4431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 06/12/2013

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