Individual
BETHANY SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2156 TODDS POINT ROAD, SIMPSONVILLE, KY 40067
(502) 836-1450
Mailing address
2156 TODDS POINT RD, SIMPSONVILLE, KY 40067-6545
(502) 836-1450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009535
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3009535
KY
Other
Enumeration date
08/24/2015
Last updated
02/17/2021
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