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Organization
NP BETHANY LLC
Active
Organization
NP BETHANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY FETZER DNP, FNP-C, PMHNP-BC (OWNER)
(815) 608-9277
Entity
Organization
Contact information
Practice address
1520 E PIMA ST, PHOENIX, AZ 85034-4639
(602) 407-6280
Mailing address
9745 E HAMPTON AVE UNIT 1102, MESA, AZ 85209-6301
(815) 608-9277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
12/03/2024
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