| NPI | 1548375918 |
|---|---|
| Former Name | BEVERLY CAROL NEELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5000707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0050 00707) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-04-06 |