Provider Demographics
NPI:1083922520
Name:AHNEE, BEVERLY ELAINE (RT, RDMS, RVT)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:ELAINE
Last Name:AHNEE
Suffix:
Gender:F
Credentials:RT, RDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13253 GALWAY AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-2844
Mailing Address - Country:US
Mailing Address - Phone:210-885-3079
Mailing Address - Fax:
Practice Address - Street 1:13253 GALWAY AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-2844
Practice Address - Country:US
Practice Address - Phone:210-885-3079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography