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Individual

BETHANY MCCLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CFNP

Contact information

Practice address
1501 MITCHELL BLVD, FORT WORTH, TX 76105-2263
(817) 920-6600
(817) 920-6632
Mailing address
701 E ARBROOK BLVD, ARLINGTON, TX 76014-3240
(682) 867-1500
(817) 419-1129

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
252859
TX
363LF0000X
Family Nurse Practitioner
Primary
AP104951
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
091872404
TX
Enumeration date
03/16/2006
Last updated
02/10/2021
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