Provider Demographics
NPI:1982395505
Name:ALOMEPE, BEVERLY (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:ALOMEPE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 LONG PRAIRIE RD STE 107-317
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4832
Mailing Address - Country:US
Mailing Address - Phone:972-544-6151
Mailing Address - Fax:
Practice Address - Street 1:2201 LONG PRAIRIE RD STE 107-317
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4832
Practice Address - Country:US
Practice Address - Phone:972-544-6151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA203642163W00000X
TX1124022163W00000X, 363LP0808X
MA2327945163W00000X
COC-APN.0101767-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse