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Individual

BETHEL RENFROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNP

Contact information

Practice address
1041 BALCH RD STE 250, MADISON, AL 35758-8822
(256) 704-2229
(256) 704-2235
Mailing address
1041 BALCH RD STE 250, MADISON, AL 35758-8822
(256) 704-2229
(256) 704-2235

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
1-150017
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-150017
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228518
AL
Enumeration date
12/18/2018
Last updated
09/11/2023
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