NPI 1023523156

Beverlee Ann Hallaway

Practitioner Foster Care Agency Nevis, MN

Practice location

Address: 27622 County 119, Nevis, MN 56467-4287
Phone: (218) 652-2402

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 1090108 (MN)

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Registry record

NPI: 1023523156
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2017
Record last updated: 12 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.