Lisa Marie Beavers, NP

NPI #1700373289 in Milford, Delaware

Provider Information

NPI Number: 1700373289
Entity Type: Individual
Name: Lisa Marie Beavers, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Apr 19, 2018
Last Updated: Jan 30, 2024

Practice Location

Address: 306 POLK AVE
City: Milford
State: Delaware
ZIP Code: 19963-1818
Phone: (302) 300-3514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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