Individual
CARLIE J BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5028 122ND ST, LUBBOCK, TX 79424-8398
(806) 749-7975
(806) 749-7937
Mailing address
5028 122ND ST, LUBBOCK, TX 79424-8398
(806) 749-7975
(806) 749-7937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP138309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP138309
TEXAS BOARD OF NURSING
TX
Enumeration date
11/12/2018
Last updated
07/21/2019
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