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NPI Code Detail

MEDICARE: MRS. HOLLI KATHLEEN BEALL APN

MEDICARE: MRS. HOLLI KATHLEEN BEALL APN
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
1363LA2100XAcute Care Nurse PractitionerA03525AR
2363LA2100XAcute Care Nurse Practitioner1-144789AL

General Provider Information

NPI Number : 1700175106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLI KATHLEEN BEALL APN
Provider Business Mailing Address
First Line : PO BOX 850849
Second Line :
City : MOBILE
State : AL
Zip : 36685-0849
Country : US
Telephone Number : 251-343-5004
Fax Number : 251-343-8383
Provider Business Practice Location Address
First Line : 124 S UNIVERSITY BLVD STE A
Second Line :
City : MOBILE
State : AL
Zip : 36608-3078
Country : US
Telephone Number : 251-343-5004
Fax Number : 251-343-8383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2011
Last Update Date : 04/22/2026

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