Beavers, Lisa Marie

Beavers, Lisa Marie is an individual health care provider with primary practice located at 306 Polk Ave , Milford DE 19963-1818. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Beavers, Lisa Marie can be contacted via phone (302) 300-3514.

Contact Information

Primary practice address
306 Polk Ave Milford DE 19963-1818
Phone: (302) 300-3514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LG-0001179 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC002264 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG-0001179 Delaware

Profile Details

NPI number 1700373289
LBN Legal business name Beavers, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2018
Last updated Jan 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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