Provider Demographics
NPI:1063577872
Name:TOWNER, BEVERLY ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:ANN
Last Name:TOWNER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:25779 KELLY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4973
Mailing Address - Country:US
Mailing Address - Phone:586-774-0700
Mailing Address - Fax:586-774-9841
Practice Address - Street 1:25779 KELLY RD
Practice Address - Street 2:SUITE C
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4973
Practice Address - Country:US
Practice Address - Phone:586-774-0700
Practice Address - Fax:586-774-9841
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4704135814363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health