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Individual
BETHANY GELERIS
Active
Individual
BETHANY GELERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95004255
CA
364SP0200X
Pediatric Clinical Nurse Specialist
95004255
CA
364SP0200X
Pediatric Clinical Nurse Specialist
SP015426
PA
Other
Enumeration date
10/05/2015
Last updated
03/05/2019
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