Woodbury, Beverly Lynn

Woodbury, Beverly Lynn is an sole proprietor health care provider with primary practice located at 401 Carlson Parkway , Minnetonka MN 55305-5387. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Woodbury, Beverly Lynn can be contacted via phone (952) 992-3637.

Contact Information

Primary practice address
401 Carlson Parkway Minnetonka MN 55305-5387
Phone: (952) 992-3637
Fax: (952) 992-3039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 290710-23 Maryland

Profile Details

NPI number 1326027590
LBN Legal business name Woodbury, Beverly Lynn
Credentials RN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2006
Last updated Jan 23rd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326027590 NPPES
Minnesota MEDICAID 7632230900

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