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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 PractitionerAP10981AZ
2363LF0000XFamily 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 : 3300 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-3030
Country : US
Telephone Number : 602-639-6215
Fax Number : 602-639-7830
Provider Business Practice Location Address
First Line : 3300 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-3030
Country : US
Telephone Number : 602-639-6215
Fax Number : 602-639-7830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 06/02/2026

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