MRS. BEVERLY A SOUTHERLAND P.A. - NPI 1376529891 - Physician Assistant in Lakeport, CA

Q: What is Beverly Southerland's NPI number?

The NPI number for Beverly Southerland is 1376529891. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Q: What is Beverly Southerland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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About Mrs. Beverly A Southerland P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BEVERLY A SOUTHERLAND P.A. (NPI 1376529891) is an individual physician assistant in Lakeport, California, licensed in California (PA14213) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1376529891

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. BEVERLY A SOUTHERLANDCredential: P.A.

Location Address925 BEVINS CTLakeport, CA 95453-9754

Mailing Address925 Bevins CtLakeport, CA 95453-9754 · (707) 263-8322 · Fax (707) 263-0329

Phone(707) 263-8322

Fax(707) 263-0329

Sole ProprietorNo

Enumeration DateDecember 16, 2005

Last NPPES UpdateSeptember 28, 2008

✔ NPI 1376529891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA14213

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

925 BEVINS CT, Lakeport, CA 95453

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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