Provider Demographics
NPI:1528192705
Name:WARWICK, BEVERLY R (RNAPNC)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:R
Last Name:WARWICK
Suffix:
Gender:F
Credentials:RNAPNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 MIDDLETOWN LINCROFT RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3110
Mailing Address - Country:US
Mailing Address - Phone:732-671-7848
Mailing Address - Fax:
Practice Address - Street 1:69 NEWMAN SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4038
Practice Address - Country:US
Practice Address - Phone:732-842-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN06921500163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory