Individual
KENATTA BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
400 GRESHAM DR, NORFOLK, VA 23507-1901
(757) 668-8866
Mailing address
400 GRESHAM DR, NORFOLK, VA 23507-1901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180834
VA
Other
Enumeration date
01/22/2021
Last updated
10/27/2021
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