Individual
BEVERLY BADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2201 LONG PRAIRIE RD STE 107-317, FLOWER MOUND, TX 75022-4832
(972) 544-6151
Mailing address
2201 LONG PRAIRIE RD STE 107-317, FLOWER MOUND, TX 75022-4832
(972) 544-6151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1124022
TX
163W00000X
Registered Nurse
203642
LA
163W00000X
Registered Nurse
2327945
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1124022
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0101767-C-NP
CO
Other
Enumeration date
05/16/2023
Last updated
11/07/2024
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