Individual provider · Type 1 NPI

Bethannie J. Shortall, RN

Registered Nurse · Waterport, NY

NPI number 1912637109 Active

Practice location

1984 Main St
Waterport, NY 14571-9797

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X682264-01 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

About NPI 1912637109

Bethannie J. Shortall, RN's National Provider Identifier is 1912637109, issued on Jun 13, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Waterport, NY. The record was last updated on Jun 13, 2022.