Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Beatrice Lee Godbouldt, PA-C

Individual provider Emergency Medicine Physician · NPI 1457406241

MS. Beatrice Lee Godbouldt, PA-C is an Emergency Medicine Physician in Las Vegas, Nevada. Licensed in California and Nevada. Registered with an NPI since 2007.

Licensed in
CA, NV
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

821 N Nellis Blvd
Las Vegas, NV 89110-5339
Phone: (702) 438-4003
Fax: (702) 438-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1710 (NV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA12936 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA12936 (CA)

Record details

NPI number1457406241
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESMarch 17, 2017

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