MEDICARE: MRS. HOLLY ELIZABETH BECHARD PMHNP-BC

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	13074	TN
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95004649	CA

General Provider Information

NPI Number	:	1982735254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HOLLY ELIZABETH BECHARD PMHNP-BC

Provider Business Mailing Address
First Line	:	6887 WAYSIDE RD
Second Line	:
City	:	CHRISTIANA
State	:	TN
Zip	:	37037-5669
Country	:	US
Telephone Number	:	615-962-0995
Fax Number	:	615-452-1356

Provider Business Practice Location Address
First Line	:	1902 WRIGHT PL STE 200
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-6583
Country	:	US
Telephone Number	:	760-810-4465
Fax Number	:

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	02/12/2024

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