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NPI Code Detail

MEDICARE: BETHANN SINGREY

MEDICARE:   BETHANN  SINGREY
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
1164W00000XLicensed Practical NursePN109630OH

General Provider Information

NPI Number : 1710337795
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANN SINGREY
Provider Business Mailing Address
First Line : 16134 DIVELBISS RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-8737
Country : US
Telephone Number : 740-399-8025
Fax Number : 740-397-1582
Provider Business Practice Location Address
First Line : 16134 DIVELBISS RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-8737
Country : US
Telephone Number : 740-399-8025
Fax Number : 740-397-1582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2016
Last Update Date : 07/01/2016

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Directions to “ BETHANN SINGREY ” Practice Location

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