Provider Demographics
NPI:1063479004
Name:MCCABE, BEVERLY DAWN (FNP)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:DAWN
Last Name:MCCABE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO DRAWER 12610
Mailing Address - Street 2:CRAVEN COUNTY HEALTH DEPT
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561
Mailing Address - Country:US
Mailing Address - Phone:252-636-4920
Mailing Address - Fax:252-636-4970
Practice Address - Street 1:3510 JOHN PLATT DR
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4321
Practice Address - Country:US
Practice Address - Phone:252-726-0511
Practice Address - Fax:252-726-7441
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201519363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404428Medicaid
NC3404428Medicaid