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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BEVERLY A SOUTHERLAND, P.A.

Active

MRS. BEVERLY A SOUTHERLAND, P.A. is a Physician Assistant healthcare provider located in LAKEPORT, California. NPI 1376529891 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKEPORT, CA

Registration Details

NPI Number
1376529891
Provider Type
Individual
Gender
Female
NPI Issued
Dec 16, 2005 (20.482023544275 yrs)
Last Updated
Sep 28, 2008
License
PA14213 (CA)

Practice Information

Address
925 BEVINS CT
LAKEPORT, CA, 954539754
Browse CA providers · Browse ZIP 95453
Phone
7072638322
Fax
7072630329
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAKEPORT, CA

Name Credential NPI
CHRISTINE ANNE GOOLD FNP/PA-C 1184679300
MS. DIANA ELIZABETH RILEY M.P.H., M.S.,P.A.-C. 1730386046
MR. GREGORY SEAN HADFIELD PA-C 1285869966
MR. ERIK KRISTOPHER SMITH PA-C 1396033395
JAQUES NGAKAM PA 1194254995
JAYLA FLAUM PA-C 1043889470
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.