Mcclean, Bethany
Mcclean, Bethany is an individual health care provider with primary practice located at 1501 Mitchell Blvd , Fort Worth TX 76105-2263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcclean, Bethany can be contacted via phone (817) 920-6600.Contact Information
Primary practice address
1501 Mitchell Blvd
Fort Worth TX 76105-2263
Phone: (817) 920-6600
Fax: (817) 920-6632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 252859 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP104951 | Texas |
Profile Details
| NPI number | 1639148190 |
|---|---|
| LBN Legal business name | Mcclean, Bethany |
| Credentials | RN, CFNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Feb 10th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639148190 | NPPES |
| Texas | MEDICAID | 091872404 |
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