MEDICARE: MOLLY BEEL PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1155831	TX

General Provider Information

NPI Number	:	1578391629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY BEEL PMHNP

Provider Business Mailing Address
First Line	:	7021 KEWANEE AVE UNIT 6104
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-7050
Country	:	US
Telephone Number	:	806-355-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	7021 KEWANEE AVE UNIT 6104
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-7050
Country	:	US
Telephone Number	:	806-355-1313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	07/24/2024

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