Provider Demographics
NPI:1467783571
Name:TAYLOR-BEISEL, BEVERLY HELENE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:HELENE
Last Name:TAYLOR-BEISEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:NY
Mailing Address - Zip Code:13803-2133
Mailing Address - Country:US
Mailing Address - Phone:607-849-3873
Mailing Address - Fax:607-849-3873
Practice Address - Street 1:3020 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:NY
Practice Address - Zip Code:13803-2133
Practice Address - Country:US
Practice Address - Phone:607-849-3873
Practice Address - Fax:607-849-3873
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY573045-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse