Provider Demographics
NPI:1528322757
Name:BEVER, SHEILA E
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:E
Last Name:BEVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2997 B LINGLE VETERAN ROAD
Mailing Address - Street 2:
Mailing Address - City:LINGLE
Mailing Address - State:WY
Mailing Address - Zip Code:82223-0005
Mailing Address - Country:US
Mailing Address - Phone:307-575-0808
Mailing Address - Fax:
Practice Address - Street 1:2997 B LINGLE VETERAN ROAD
Practice Address - Street 2:
Practice Address - City:LINGLE
Practice Address - State:WY
Practice Address - Zip Code:82223-0005
Practice Address - Country:US
Practice Address - Phone:307-575-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator