| Doctor Name: | MS. BEVERLY MARIE MAYBERRY |
| NPI Number: | 1497805428 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-C |
| License Number: | 11840 |
| Business Practice Address: | 302 4th Ave Havre, MT - 595013654 |
| Business Phone Number: | 4062655481 |
| Business Fax Number: | 4062656976 |
| Mailing Address: | 225 1st Ave W, #9 HAVRE |
| State: | MT |
| Postal Code: | 595013451 |
| Phone Number: | 4062627282 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |