Doctor Name: | BEVERLY A PHIEL-BURKETT |
NPI Number: | 1003982380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.P |
License Number: | VP005573C |
Business Practice Address: | 423 S Washington St Gettysburg, PA - 173252526 |
Business Phone Number: | 7173349259 |
Business Fax Number: | |
Mailing Address: | 1355 37th St 302, VERO BEACH |
State: | FL |
Postal Code: | 329607320 |
Phone Number: | 7727704888 |
Fax Number: | 7727700190 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | VP005573C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |