Provider Demographics
NPI:1174717664
Name:BEVEL, MARGARET ANN
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANN
Last Name:BEVEL
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 1:3125 W WARM SPRINGS RD
Mailing Address - Street 2:#1201
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-5014
Mailing Address - Country:US
Mailing Address - Phone:702-456-6313
Mailing Address - Fax:
Practice Address - Street 1:505 E CAPOVILLA AVE
Practice Address - Street 2:#105
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4340
Practice Address - Country:US
Practice Address - Phone:702-260-7329
Practice Address - Fax:888-360-3081
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
No174400000XOther Service ProvidersSpecialist