Individual
MRS. BETHANY MARIE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37629
RI
363LW0102X
Women's Health Nurse Practitioner
Primary
CNPP37629
RI
Other
Enumeration date
06/28/2011
Last updated
09/24/2013
Update your record
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