Basic Information
| Provider Information | |||||||||
| NPI: | 1851388532 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAINZ | ||||||||
| FirstName: | BEVERLY | ||||||||
| MiddleName: | JANE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3937 PATIENT CARE DRIVE | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489114287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5174852317 | ||||||||
| FaxNumber: | 5174851490 | ||||||||
| Practice Location | |||||||||
| Address1: | 3937 PATIENT CARE WAY | ||||||||
| Address2: | SUITE106 | ||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489114287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5174852317 | ||||||||
| FaxNumber: | 5174851490 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2005 | ||||||||
| LastUpdateDate: | 03/11/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 5601002433 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.