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Beverly A Smith, FNP
Pediatric Nurse Practitioner in Davenport, Iowa
NPI 1275529430

Beverly A Smith is a Pediatric Nurse Practitioner based in Davenport, IA and is specialized in Pediatrics. Beverly A Smith practices in Davenport, IA and has the professional credentials of FNP. The NPI Number for Beverly A Smith is 1275529430 and holds a License No. C030799 (Iowa).

The current practice location address for Beverly A Smith is 500 W River Dr, Davenport, IA and can be reached out via phone at 563-336-3000 and via fax at 563-336-3044.

Location: 500 W River Dr, Davenport, IA, 52801-1014
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Provider Profile Details
NPI Number
1275529430
Provider Name
Beverly A Smith
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
500 W River Dr, Davenport, IA, 52801-1014
Phone Number
563-336-3000
Fax Number
563-336-3044
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S53434 01 UPIN
02874 01 IA IA BCBS SEEN IN DAVENPORT
42106072440 01 IA JOHN DEERE HEALTH
IA0140 01 IA JOHN DEERE EDI#
93327 01 IA IA BCBS SEEN IN MOLINE
93357 01 IA IA BCBS SEEN IN RI
079471 01 HEALTH ALLIANCE
5200098 01 IA CONTROLLED SUBSTANCE#
institution
Provider Business Practice Location Address Details
Address
500 W River Dr
City
State
Zip
52801-1014
Phone Number
563-336-3000
Fax Number
563-336-3044
person
Provider Business Mailing Address Details
Address
500 W River Dr
City
State
Zip
52801-1014
Phone Number
563-336-3000
Fax Number
563-336-3044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
C030799 (Iowa)
Definition
Definition to come...
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