Individual
BETH ANN PADALINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2006 LIMESTONE RD, SUITE 5, WILMINGTON, DE 19808-5553
(302) 995-1860
(302) 995-5421
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0806
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0018466
DE
163W00000X
Registered Nurse
RN283292L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00283
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047037
AANA ID#
—
01
—
P00728373
RAILROAD MEDICARE PTAN
DE
Enumeration date
10/04/2005
Last updated
06/19/2013
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