Organization · Type 2 NPI
Bethany Medical Clinic, LLC
Family Nurse Practitioner · Cleveland, MS
NPI number
1487792032
Active
Practice location
548 East Rosemary Road, Suite B
Cleveland, MS 38732
Fax (662) 846-5034
Mailing address
PO Box 358
Cleveland, MS 38732-0358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R793654 (MS) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Cleveland
About NPI 1487792032
Bethany Medical Clinic, LLC's National Provider Identifier is 1487792032, issued on Feb 2, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cleveland, MS. The record was last updated on Mar 9, 2010.