| Doctor Name: | MS. DEBRA LYNN BEVANS |
| NPI Number: | 1023114253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 4704177267 |
| Business Practice Address: | 310 9th St Manistee, MI - 496602100 |
| Business Phone Number: | 2317238299 |
| Business Fax Number: | 2317238761 |
| Mailing Address: | 3760 Sass Rd, MANISTEE |
| State: | MI |
| Postal Code: | 496609514 |
| Phone Number: | 2317233735 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 4704177267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |