Individual
MS. BETHANY CORINNE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSNA
Contact information
Practice address
3017 13TH ST, GULFPORT, MS 39501-1833
(228) 831-0050
(228) 831-1121
Mailing address
140 SEA OAKS BLVD, LONG BEACH, MS 39560-5841
(307) 679-9151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
17714
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
810640
MS
Other
Enumeration date
11/30/2011
Last updated
01/06/2022
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