Individual
BETHANY GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
108 SANDERS ST, ATHENS, AL 35611-2418
(256) 232-0636
(256) 232-1058
Mailing address
108 SANDERS ST, ATHENS, AL 35611-2418
(256) 232-0636
(256) 232-1058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1085474
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51524842
BLUE CROSS BLUE SHIELD
AL
05
—
891008700
—
AL
Enumeration date
08/30/2005
Last updated
05/15/2008
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