Individual
BETH A VANSELOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SCHUYLKILL MEDICAL PLZ, POTTSVILLE, PA 17901
(570) 621-9200
(570) 621-9201
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019030
PA
Other
Enumeration date
12/06/2018
Last updated
09/19/2019
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