Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 9375316 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | VP005573C | PA |
NPI | 1003982380 |
---|---|
Provider Name | Beverly A Phiel-Burkett |
First Address | Vero Beach, FL 32960-7320 |
Second Address | Gettysburg, PA 17325-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 07/08/2015 |