Individual
BETHANY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14302 BARTON BLVD SW, CUMBERLAND, MD 21502-5852
(301) 729-3278
Mailing address
14302 BARTON BLVD SW, CUMBERLAND, MD 21502-5852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004133
MD
Other
Enumeration date
06/17/2008
Last updated
05/24/2021
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