NPI 1962869313 · live from the CMS NPI Registry
Paige Elizabeth Beverly, PA-C
Dermatology in Oklahoma City, OK. National Provider Identifier 1962869313, active.
NPI record
| NPI | 1962869313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 13100 N Western Ave Ste 301, Oklahoma City, OK 73114 |
| Practice phone | 405-947-6647 |
| Enumerated | January 15, 2016 |
| Last updated | October 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 2646 (OK) |
| Physician Assistant, Medical | 363AM0700X | 2646 (OK) |
| Dermatology primary | 207N00000X | PA2646 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.