Individual provider · Type 1 NPI
Bethany Ann Stough, CRNP
Family Nurse Practitioner · State College, PA
NPI number
1154814002
Active
Practice location
320 Rolling Ridge Dr Ste 203
State College, PA 16801-7641
Fax (833) 525-1877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP018921 (PA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1154814002
Bethany Ann Stough, CRNP's National Provider Identifier is 1154814002, issued on Jun 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in State College, PA. The record was last updated on Jan 30, 2026.