Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Tana Elizabeth Beverwyk-Abouda, CPT, EIM

Individual provider Athletic Trainer · NPI 1770170219

MS. Tana Elizabeth Beverwyk-Abouda, CPT, EIM is an Athletic Trainer in Espanola, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2020

Practice location Address checks out

628 N Riverside Dr Ste C
Espanola, NM 87532-2620
Phone: (505) 927-8516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 798784 (NM)

Record details

NPI number1770170219
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPT , EIM
Sole proprietorYes
NPI enumeratedDecember 30, 2020
Last updated in NPPESDecember 30, 2020
Certification dateDecember 22, 2020

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