Provider Demographics
NPI:1548237506
Name:HALIBURTON, BEVERLY CLAIRE (RN FNPC)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:CLAIRE
Last Name:HALIBURTON
Suffix:
Gender:F
Credentials:RN FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 N ESPLANADE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CUERO
Mailing Address - State:TX
Mailing Address - Zip Code:77954-4727
Mailing Address - Country:US
Mailing Address - Phone:361-275-3466
Mailing Address - Fax:361-275-5614
Practice Address - Street 1:2500 N ESPLANADE
Practice Address - Street 2:SUITE 102
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-4727
Practice Address - Country:US
Practice Address - Phone:361-275-3466
Practice Address - Fax:361-275-5614
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX252548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily