Individual
BETHANN B POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN239826L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN1998102
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP1998102
FL
367500000X
Certified Registered Nurse Anesthetist
RN239826L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302700700
—
FL
01
—
G2964
BCBS
FL
Enumeration date
01/11/2006
Last updated
02/24/2021
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