LISA MARIA BEAVERS

PRIVIA CARE CENTER LLC

Dr LISA MARIA BEAVERS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

PRIVIA CARE CENTER LLC

998 HOSPITALITY WAY
SUITE 102
ABERDEEN
MD
210011757

Tel: 4102979500

LISA MARIA BEAVERS Information

Npi 1700373289
Pac Id 6608122700
Professional Enrollment Id I20180703001127
Last Name BEAVERS
First Name LISA
Middle Name MARIA
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRIVIA CARE CENTER LLC
Group Practice Pac Id 3274801139
Number Of Group Practice Members 134
Line 1 Street Address 998 HOSPITALITY WAY
Line 2 Street Address SUITE 102
Marker Of Address Line 2 Suppression
City ABERDEEN
State MD
Zip Code 210011757
Phone Number 4102979500
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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