Provider Demographics
NPI:1942626932
Name:BOND, BEVERLY ANN (ARNP-C)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:ANN
Last Name:BOND
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101B W HIGHWAY 98
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-1251
Mailing Address - Country:US
Mailing Address - Phone:850-763-0446
Mailing Address - Fax:850-763-7787
Practice Address - Street 1:3101B W HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-1251
Practice Address - Country:US
Practice Address - Phone:850-763-0446
Practice Address - Fax:850-763-7787
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1263792163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health