Provider Demographics
NPI:1033151832
Name:DINWIDDIE, BEVERLY DIANN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:DIANN
Last Name:DINWIDDIE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6032 LANDMARK PL
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4917
Mailing Address - Country:US
Mailing Address - Phone:615-370-5220
Mailing Address - Fax:
Practice Address - Street 1:224 ORIEL AVE
Practice Address - Street 2:WOODBINE HEALTH DEPARTMENT
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-4910
Practice Address - Country:US
Practice Address - Phone:615-862-7940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 6742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily