Provider Demographics
NPI:1700663309
Name:NIKERLE, BEVERLY LYNN (CD(DONA))
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:LYNN
Last Name:NIKERLE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:LYNN
Other - Last Name:NIKERLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:533 FAGLEYSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PERKIOMENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18074-9609
Mailing Address - Country:US
Mailing Address - Phone:610-216-5716
Mailing Address - Fax:
Practice Address - Street 1:533 FAGLEYSVILLE RD
Practice Address - Street 2:
Practice Address - City:PERKIOMENVILLE
Practice Address - State:PA
Practice Address - Zip Code:18074-9609
Practice Address - Country:US
Practice Address - Phone:610-216-5716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula