Individual
BETHANY PEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 668-3545
(434) 517-3021
Mailing address
13809 RESEARCH BLVD STE 500, AUSTIN, TX 78750-1223
(919) 904-0310
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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