Organization · Type 2 NPI
Bethany Health Services
Psychiatric/Mental Health Nurse Practitioner · West Lebanon, NH
NPI number
1780208686
Active
Practice location
10 Benning St Ste 160 #208
West Lebanon, NH 03784-3402
Fax (603) 506-6362
Mailing address
10 Benning St Ste 160
West Lebanon, NH 03784-3402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1780208686
Bethany Health Services's National Provider Identifier is 1780208686, issued on Jun 5, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Lebanon, NH. The record was last updated on Dec 28, 2021.