Beverly J Shamloo
Nurse Practitioner
1520 S Liberty Dr
Bloomington
, Indiana 47403-5167
Beverly J Shamloo
Nurse Practitioner
1520 S Liberty Dr
Bloomington
, Indiana 47403-5167
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Beverly J Shamloo
- 1520 S Liberty Dr
- Bloomington, IN
- Zip : 47403-5167
- Phone :
Second Address
- Beverly J Shamloo
- 1520 S Liberty Dr
- Bloomington, IN
- Zip : 47403-5167
- Phone : (812) 676-4500
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FAQs
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Is Beverly J Shamloo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71008290A | IN |
National Provider Identifier
| NPI | 1003399759 |
|---|---|
| Provider Name | Beverly J Shamloo |
| First Address | Bloomington, IN 47403-5167 |
| Second Address | Bloomington, IN 47403-5167 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2018 |
| Last Update Date | 02/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.