Individual
MS. BETHANY LEIGH SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
115 OVERHILL WAY, BERKELEY HEIGHTS, NJ 07922-2651
(908) 868-5084
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
6263021
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
626302-01
NY
Other
Enumeration date
02/22/2019
Last updated
08/12/2022
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