NPI 1811078298 · live from the CMS NPI Registry
Vera Ann Beadle, NP-C, PHMNP-BC
Nurse Practitioner, Family in Devils Lake, ND. National Provider Identifier 1811078298, active.
NPI record
| NPI | 1811078298 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 200 Highway 2 W, Devils Lake, ND 58301 |
| Practice phone | 701-665-2200 |
| Enumerated | October 18, 2006 |
| Last updated | January 4, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health | 163WP0808X | 4704201918 (MI) |
| Registered Nurse, General Practice | 163WG0000X | 128553 (CO) |
| Nurse Practitioner, Family | 363LF0000X | 4704201918 (MI) |
| Nurse Practitioner, Family primary | 363LF0000X | R46932 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.