De La Rosa, Beverly A

De La Rosa, Beverly A is an individual health care provider with primary practice located at 4005 Fayetteville Rd , Raeford NC 28376-8058. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. De La Rosa, Beverly A can be contacted via phone (910) 848-5437.

Contact Information

Primary practice address
4005 Fayetteville Rd Raeford NC 28376-8058
Phone: (910) 848-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5018560 North Carolina

Profile Details

NPI number 1134805674
LBN Legal business name De La Rosa, Beverly A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2023
Last updated Feb 26th, 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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