Individual
BETHANY PEATTIE
Active
Individual
BETHANY PEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024169277
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0582311-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002469277
LICENSE
VA
05
—
0582311-23
—
NH
Enumeration date
03/14/2011
Last updated
08/18/2020
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