Individual
MISS BETHANIE ANNE MILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
20 W FAIRMOUNT AVE, LAKEWOOD, NY 14750-1702
(716) 338-0033
Mailing address
20 W FAIRMOUNT AVE, LAKEWOOD, NY 14750-1702
(716) 338-0033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
619586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03531160
—
NY
Enumeration date
05/01/2013
Last updated
05/01/2013
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