Provider Demographics
NPI:1285893537
Name:CAVNESS, BEVERLY ARLENE (RN)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:ARLENE
Last Name:CAVNESS
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 1:110 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-5340
Mailing Address - Country:US
Mailing Address - Phone:716-661-8111
Mailing Address - Fax:716-661-8231
Practice Address - Street 1:110 E 4TH ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-5340
Practice Address - Country:US
Practice Address - Phone:716-661-8111
Practice Address - Fax:716-661-8231
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY406934-1163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management