Individual
BETH GARVIN MYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3501 CATTLEMEN RD STE A, SARASOTA, FL 34232-6054
(941) 342-9477
(941) 342-9488
Mailing address
13581 LUXE AVE APT 202, BRADENTON, FL 34211-4522
(617) 694-8589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9493858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1412
BCBS- PROVIDER NUMBER
MA
Enumeration date
05/20/2012
Last updated
07/12/2021
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