Provider Demographics
NPI:1295722536
Name:MOLNAR, BETH COPENHEFER (RN, MSN, CNP)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:COPENHEFER
Last Name:MOLNAR
Suffix:
Gender:F
Credentials:RN, MSN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2698 WASHINGTON MILL RD
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-9724
Mailing Address - Country:US
Mailing Address - Phone:937-546-0334
Mailing Address - Fax:
Practice Address - Street 1:390 WARDS CORNER RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-6969
Practice Address - Country:US
Practice Address - Phone:513-943-4000
Practice Address - Fax:513-943-4240
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.04786-NP363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2116614Medicaid
OH2116614Medicaid