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NPI Code Detail

MEDICARE: BEVERLY JILL MASER FNP

MEDICARE: BEVERLY JILL MASER 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
1363LF0000XFamily Nurse PractitionerLG-0000553DE

General Provider Information

NPI Number : 1487932232
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY JILL MASER FNP
Provider Business Mailing Address
First Line : 108 KATRINA WAY APT 201
Second Line :
City : DOVER
State : DE
Zip : 19904-5921
Country : US
Telephone Number : 302-233-4767
Fax Number :
Provider Business Practice Location Address
First Line : 120 N STATE ST
Second Line : WESLEY COLLEGE
City : DOVER
State : DE
Zip : 19901-3835
Country : US
Telephone Number : 302-736-2521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2011
Last Update Date : 07/28/2011

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Directions to “ BEVERLY JILL MASER FNP” Practice Location

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