Provider Demographics
NPI:1104049253
Name:BEVINS, MARGARET ANNE (RN-C, FNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:BEVINS
Suffix:
Gender:F
Credentials:RN-C, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 N MESA ST
Mailing Address - Street 2:SUITE E BOX 304
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1736
Mailing Address - Country:US
Mailing Address - Phone:915-886-4577
Mailing Address - Fax:915-886-4579
Practice Address - Street 1:929 SOUTH MAIN
Practice Address - Street 2:SUITE B
Practice Address - City:ANTHONY
Practice Address - State:TX
Practice Address - Zip Code:79821-9406
Practice Address - Country:US
Practice Address - Phone:915-886-4577
Practice Address - Fax:915-886-4579
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX452956363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner