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NPI Code Detail

MEDICARE: BETH WIMER CRNP

MEDICARE: BETH WIMER CRNP
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
1363L00000XNurse PractitionerSP009025PA

General Provider Information

NPI Number : 1932189941
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH WIMER CRNP
Provider Business Mailing Address
First Line : 1034 GROVE ST
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-2945
Country : US
Telephone Number : 814-807-1202
Fax Number : 814-807-1210
Provider Business Practice Location Address
First Line : 1034 GROVE ST STE G1
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-2945
Country : US
Telephone Number : 814-807-1202
Fax Number : 814-807-1210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 04/27/2023

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Directions to “ BETH WIMER CRNP” Practice Location

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