Individual provider · Type 1 NPI

Bethany C. Pan

Student in an Organized Health Care Education/Training Program · Omaha, NE

NPI number 1356037154 Active

Practice location

1319 Leavenworth St
Omaha, NE 68102-3215

Call (402) 552-3222 Map

Fax (402) 552-2172

Mailing address

PO Box 307
Advance, NC 27006-0307

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356037154

Bethany C. Pan's National Provider Identifier is 1356037154, issued on Apr 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Omaha, NE. The record was last updated on Apr 13, 2023.