Individual
MS. BETHANY CORINNE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSNA
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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