Provider Demographics
NPI:1043813264
Name:FRAME, BEVERLY ANN
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:ANN
Last Name:FRAME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 COLUMBUS HINES WAY
Mailing Address - Street 2:
Mailing Address - City:NEW LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45345-1612
Mailing Address - Country:US
Mailing Address - Phone:937-687-1843
Mailing Address - Fax:
Practice Address - Street 1:971 COLUMBUS HINES WAY
Practice Address - Street 2:
Practice Address - City:NEW LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45345-1612
Practice Address - Country:US
Practice Address - Phone:937-687-1843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker