Individual
BETHANY N DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26 MAIN ST STE 2, NEWPORT, ME 04953-4163
(207) 368-5747
(207) 368-5483
Mailing address
PO BOX J, NEWPORT, ME 04953-0429
(207) 368-5747
(207) 368-5483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1366
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1366
LICENSE
ME
Enumeration date
10/16/2012
Last updated
06/29/2021
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