Bedwell, Mary

Bedwell, Mary is an individual health care provider with primary practice located at 1362 Mississippi Blvd , Memphis TN 38106-4709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bedwell, Mary can be contacted via phone (901) 515-5700.

Contact Information

Primary practice address
1362 Mississippi Blvd Memphis TN 38106-4709
Phone: (901) 515-5700
Fax: (901) 942-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6199 Tennessee

Profile Details

NPI number 1497740674
LBN Legal business name Bedwell, Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497740674 NPPES
Tennessee MEDICAID 3903771

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