Individual
MRS. MARY BETH NEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2770 3RD AVE, SUITE 350 LAKE CHARLES MEMORIAL HOSPITAL INTERNAL MEDIC, LAKE CHARLES, LA 70601
(337) 494-6800
(337) 494-6811
Mailing address
PO BOX 122539, DEPT 2539, DALLAS, TX 75312-2539
(337) 494-2919
(337) 494-3069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850198
MS
363LF0000X
Family Nurse Practitioner
RN099890
LA
Other
Enumeration date
03/26/2007
Last updated
09/05/2019
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