Individual
BETHANY L MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-BC
Contact information
Practice address
511 CAROLINA BACK RD, CHARLESTOWN, RI 02813-3858
(401) 213-6553
Mailing address
511 CAROLINA BACK RD, CHARLESTOWN, RI 02813-3858
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN44370
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN02048
RI
Other
Enumeration date
03/28/2019
Last updated
03/23/2022
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