Individual
BETHENY GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6830 ANDERSON ST, SHAWNEE, KS 66226-3101
(816) 922-2750
Mailing address
4809 SHADY BEND RD, LEAVENWORTH, KS 66048-2243
(580) 917-2939
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
4216315
CO
163WG0000X
General Practice Registered Nurse
Primary
684902
TX
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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