Individual
BETHANY SIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 SYKESVILLE RD, ELDERSBURG, MD 21784-6000
(410) 781-4720
Mailing address
6040 SYKESVILLE RD, ELDERSBURG, MD 21784-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R180736
MD
Other
Enumeration date
11/23/2016
Last updated
06/09/2021
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