Individual
BETHANY JANE ABDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP - BC
Contact information
Practice address
100 ROSEBROOK WAY, WAREHAM, MA 02571-1138
(508) 273-4900
(508) 273-4901
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN259875
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101067A
—
MA
Enumeration date
10/15/2014
Last updated
04/20/2020
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