Individual
MRS. CAROLYN BETHEA HARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
80 GUION PL, NEW ROCHELLE, NY 10801-3822
(914) 346-0965
Mailing address
80 GUION PLACE, NEW ROCHELLE, NY 10801
(914) 346-0965
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
090658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090658
LICENSED PRACTICAL NURSE
NY
Enumeration date
03/16/2011
Last updated
03/16/2011
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