Provider Demographics
NPI:1508067430
Name:GODSY, BETHANY ALISON (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:BETHANY
Middle Name:ALISON
Last Name:GODSY
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Gender:F
Credentials:MSN, RN, FNP-BC
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Mailing Address - Street 1:17150 N ELDRIDGE PKWY STE G
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2863
Mailing Address - Country:US
Mailing Address - Phone:936-202-3108
Mailing Address - Fax:936-271-1682
Practice Address - Street 1:17150 N ELDRIDGE PKWY STE G
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-2863
Practice Address - Country:US
Practice Address - Phone:936-202-3108
Practice Address - Fax:936-271-1682
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2023-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP115013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily