Individual
BETHANY DIANE MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
(304) 329-6961
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
(304) 329-6961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76084
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012009468
ANCC CERTIFICATION
WV
Enumeration date
07/30/2012
Last updated
05/29/2020
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