Individual
BETHANY WHITEHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
760 S COLORADO BLVD, DENVER, CO 80246-1954
(303) 692-8000
Mailing address
760 S COLORADO BLVD, DENVER, CO 80246-1954
(303) 692-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002624
CO
363A00000X
Physician Assistant
PA60687147
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649417841
—
WA
01
—
P01718680
RR PTAN WVH
WA
Enumeration date
01/10/2009
Last updated
03/18/2020
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