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NPI Code Detail

MEDICARE: MR. RICHARD BEEVERS CNP

MEDICARE: MR. RICHARD BEEVERS CNP
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 Practitioner78991OK
2363LF0000XFamily Nurse PractitionerAP14538PVI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AP14538POTHERVIVIRGIN ISLANDS BOARD OF NURSING

General Provider Information

NPI Number : 1881951028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD BEEVERS CNP
Provider Business Mailing Address
First Line : 6500 RED HOOK PLZ STE 205
Second Line :
City : ST THOMAS
State : VI
Zip : 00802-1346
Country : US
Telephone Number : 405-818-8050
Fax Number :
Provider Business Practice Location Address
First Line : 6500 RED HOOK PLZ STE 205
Second Line :
City : ST THOMAS
State : VI
Zip : 00802-1346
Country : US
Telephone Number : 405-818-8050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2012
Last Update Date : 06/22/2023

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