Provider Demographics
NPI:1265501910
Name:CLEFF, BEVERLY G (EDD, APN)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:G
Last Name:CLEFF
Suffix:
Gender:F
Credentials:EDD, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 COUNTRY ESTATES CIR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4039
Mailing Address - Country:US
Mailing Address - Phone:775-870-9394
Mailing Address - Fax:775-453-9748
Practice Address - Street 1:150 COUNTRY ESTATES CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4039
Practice Address - Country:US
Practice Address - Phone:775-870-9394
Practice Address - Fax:775-453-9748
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN12571163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002416056Medicaid
NVV40550Medicare ID - Type Unspecified
NVS49950Medicare UPIN