Evelyn Beardsley
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portales, NM
NPI 1124675699 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1124675699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1500 S Avenue K
Station 3, Shroc
Portales, NM 88130-8813 - Phone
- (575) 562-2160
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern New Mexico University | Current |
Accepting new patients |
Locations
1500 S Avenue K
#3
Portales, NM 88130
Phone (575) 562-2156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1500 S Avenue K
Station 3, Shroc
Portales, NM 88130-8813
Mailing address
1500 S Avenue K
Station 3, Shroc
Portales, NM 88130
Other providers in Portales, NM
- Calli Bane
- Leah Baranouskas
- Katherine Rose Barnett
- Jamie Bassell
- Be Well Counseling Services, PC
- Charlene G Beck
- Lola Beltran
- Rebecca Marie Bier
- Andrea Binkley
- Claudia J. Bird
All providers in Portales, NM · Student in an Organized Health Care Education/Training Program in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.