Provider Demographics
NPI:1629113899
Name:PINARD, BEVERLY FRANCES (RN)
Entity Type:Individual
Prefix:MISS
First Name:BEVERLY
Middle Name:FRANCES
Last Name:PINARD
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 1:515 MEDER ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2309
Mailing Address - Country:US
Mailing Address - Phone:831-476-4481
Mailing Address - Fax:831-475-2548
Practice Address - Street 1:131 WESTMOOR CT
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2438
Practice Address - Country:US
Practice Address - Phone:831-426-6915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN201246163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4233536OtherMEDI CAL PEDS
CA1473536OtherMEDI CAL RN