Provider Demographics
NPI:1619272739
Name:MCALPIN, BEVERLEY MAY (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:
First Name:BEVERLEY
Middle Name:MAY
Last Name:MCALPIN
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5212 GLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-1124
Mailing Address - Country:US
Mailing Address - Phone:718-444-6952
Mailing Address - Fax:
Practice Address - Street 1:5212 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-1124
Practice Address - Country:US
Practice Address - Phone:718-444-6952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY616783163W00000X
NYF338620-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY616783OtherREGISTERED NURSE LICENSE