Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BEATRICE LEE GODBOULDT, PA-C
ActiveMS. BEATRICE LEE GODBOULDT, PA-C is a Medical Physician Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1457406241 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAS VEGAS, NV
Registration Details
- NPI Number
- 1457406241
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2007 (19.56963907706 yrs)
- Last Updated
- Mar 17, 2017
- Licenses
-
PA12936 (CA)PA12936 (CA)PA1710 (NV)
Practice Information
- Address
-
821 N NELLIS BLVDLAS VEGAS, NV, 891105339Browse NV providers · Browse ZIP 89110
- Phone
- 7024384003
- Fax
- 7024380555
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MR. FREDERICK BLANCHARD BOWLES | PA-C | 1265435051 |
| MICHAEL SALVATORE FESTENESE | P.A.C. | 1043217581 |
| MR. MICHAEL FRANCIS FISHER | PA | 1629076237 |
| JESSE JAMES HARVEY | P.A. | 1942209119 |
| KEVIN JOSEPH THORN | PA-C | 1407856982 |
| MR. MICHAEL J. SULLIVAN | M.S., P.A.-C | 1821098104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.