Mrs Beth Lenor Ennis, APN, BC is a
Nurse Practitioner - Family based in Tonopah, Nevada. Mrs Beth Lenor Ennis is licensed to practice in Nevada (license number 27437/APN00428) and her current practice location is
1 Frankee St, Tonopah, Nevada. She can be reached at her office (for appointments etc.) via phone at
(775) 482-6659.
NPI number for Mrs Beth Lenor Ennis is 1962476721 and her current mailing address is Po Box 409, 1 Frankee St., Tonopah, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962476721.
Provider's Profile
| Full Name | Mrs Beth Lenor Ennis |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1 Frankee St, Tonopah, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962476721
- Provider Enumeration Date: 02/16/2006
- Last Update Date: 10/19/2012
Medical Identifiers
Medical identifiers for Mrs Beth Lenor Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962476721 | NPI | - | NPPES |
| 24-12021 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 27437/APN00428 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Beth Lenor Ennis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Beth Lenor Ennis, APN, BC
Po Box 409, 1 Frankee St.,
Tonopah, NV 89049-0409
Ph: (775) 482-6659 | Mrs Beth Lenor Ennis, APN, BC
1 Frankee St,
Tonopah, NV 89049-0409
Ph: (775) 482-6659 |
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