Individual
BETHANY S LACHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328
(770) 874-5408
Mailing address
724 BRISTOL VILLAGE DR APT 302, MIDLOTHIAN, VA 23114-4636
(804) 426-4519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001236172
VA
363L00000X
Nurse Practitioner
Primary
0024176164
VA
363L00000X
Nurse Practitioner
432000
NY
363L00000X
Nurse Practitioner
71017548A
IN
363LA2100X
Acute Care Nurse Practitioner
0024176164
VA
363LF0000X
Family Nurse Practitioner
35279
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300127227
—
IN
Enumeration date
05/04/2018
Last updated
05/13/2026
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