Individual
MRS. BETH NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSHA
Contact information
Practice address
340 DUNN RD, MONTGOMERY, NY 12549-2400
(845) 707-5024
Mailing address
340 DUNN RD, MONTGOMERY, NY 12549-2400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
563293
NY
Other
Enumeration date
02/13/2017
Last updated
02/22/2019
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