Individual
MRS. BETH LENOR ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, BC
Contact information
Practice address
1 FRANKEE ST, TONOPAH, NV 89049-0409
(775) 482-6659
(775) 482-3430
Mailing address
PO BOX 409, 1 FRANKEE ST., TONOPAH, NV 89049-0409
(775) 482-6659
(775) 482-3430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27437/APN00428
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24-12021
—
NV
Enumeration date
02/16/2006
Last updated
10/19/2012
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