PHYLLIS ANN BEVERIDGE

MIDDLETOWN, CT
NPI1194945634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  001808)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
-- PHYLLIS ANN BEVERIDGE aprn
915 RIVER RD
MIDDLETOWN, CT 06457-3921
Phone number: 860-704-4045
Mailing Address
-- PHYLLIS ANN BEVERIDGE aprn
20 CHIMNEY HILL RD
MIDDLETOWN, CT 06457-4156
Phone number: 860-346-6768
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