# BETHANY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780208686
- **Authorized official:** DR. VANNESSA DAVIS DNP, APRN (NP)
- **Authorized official phone:** (603) 601-4766

## Contact information

- **Practice address:** 10 BENNING ST STE 160 \#208, WEST LEBANON, NH 03784-3402
- **Practice address phone:** (603) 601-4766
- **Practice address fax:** (603) 506-6362
- **Mailing address:** 10 BENNING ST STE 160, WEST LEBANON, NH 03784-3402
- **Mailing address phone:** (603) 601-4766
- **Mailing address fax:** (603) 506-6362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 12/28/2021