Individual
BETHANY PARKER NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 E 6TH STREET, SUITE 205, PANAMA CITY, FL 32401
(850) 785-3185
(850) 785-6233
Mailing address
801 E 6TH STREET, SUITE 205, PANAMA CITY, FL 32401
(850) 785-3185
(850) 785-6233
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9339543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9339543
LICENSE
FL
Enumeration date
01/27/2015
Last updated
06/09/2021
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