BETH BOLDERY REEG/EPTCNIM NPI 1942777164

NPI Information

  • NPI: 1942777164
  • Provider Name: BETH BOLDERY, REEG/EPT,CNIM
  • Classification: Specialist/Technologist, Other - 246ZE0500X
  • Specialization: EEG
  • Entity Type: Individual
  • Address: 1356 OLD CREEK DR
    TYLER, TX
    ZIP 75703
  • Phone: (903) 534-8812

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NPI Details

Beth Boldery, REEG/EPT,CNIM is an eeg specialist technologist other in Tyler, TX. Beth Boldery, REEG/EPT,CNIM NPI is 1942777164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1356 OLD CREEK DR
TYLER, TX
ZIP 75703-642
Phone: (903) 534-8812
Fax: (903) 939-9149

The enumeration date for this NPI number is 10/25/2018 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZS0410XSpecialist/Technologist, OtherSurgical TechnologistNo
22472E0500XTechnician, OtherEEG3497TEXASNo
3246ZE0500XSpecialist/Technologist, OtherEEG526TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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