MEDICARE: BEVERLEY MAY MCALPIN FAMILY NURSE PRACTIT

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
1	163W00000X	Registered Nurse	616783	NY
2	363LF0000X	Family Nurse Practitioner	F338620-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	616783	OTHER	NY	REGISTERED NURSE LICENSE

General Provider Information

NPI Number	:	1619272739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLEY MAY MCALPIN FAMILY NURSE PRACTIT

Provider Business Mailing Address
First Line	:	5212 GLENWOOD RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-1124
Country	:	US
Telephone Number	:	718-444-6952
Fax Number	:

Provider Business Practice Location Address
First Line	:	5212 GLENWOOD RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-1124
Country	:	US
Telephone Number	:	718-444-6952
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2011
Last Update Date	:	03/21/2014

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