Female

Beverly J. Shamloo NP

Nurse Practitioner in Bloomington, IN(View on Map)

Full Name

Beverly J Shamloo NP

NPI Number

1003399759

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/10/2018

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

71008290A

Contact
Information

Purpose

Mailing
Location

Address

1520 S LIBERTY DR
1520 S LIBERTY DR

City

Bloomington
Bloomington

State

IN
IN

Postal Code

47403-5167
47403-5167

Country

US
US

Telephone Number

N/A
(812) 676-4500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/02/2020

Provider Address

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