Provider Demographics
NPI:1033111745
Name:THOMAS-CARTER, BEVERLY JOYCE (DNP, FNP)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:JOYCE
Last Name:THOMAS-CARTER
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 N 15TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-3329
Mailing Address - Country:US
Mailing Address - Phone:888-958-5736
Mailing Address - Fax:888-059-5737
Practice Address - Street 1:5040 N 15TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-3329
Practice Address - Country:US
Practice Address - Phone:888-958-5736
Practice Address - Fax:888-958-5737
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1707363LF0000X
AZ261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health