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NPI Code Detail

MEDICARE: MRS. BETHANY WHITSON FNP-C

MEDICARE: MRS. BETHANY WHITSON FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner224149AR

General Provider Information

NPI Number : 1477052876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETHANY WHITSON FNP-C
Provider Business Mailing Address
First Line : 27 W TOWNSHIP ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-2821
Country : US
Telephone Number : 479-480-6677
Fax Number :
Provider Business Practice Location Address
First Line : 27 W TOWNSHIP ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-2821
Country : US
Telephone Number : 479-480-6677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 10/21/2024

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