Individual
CLARISSE BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1408 GOLF COURSE DR, BOWIE, MD 20721-2330
(240) 643-5523
(301) 808-3060
Mailing address
1408 GOLF COURSE DR, BOWIE, MD 20721-2330
(240) 643-5523
(301) 808-3060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R176704
MD
164W00000X
Licensed Practical Nurse
LP42451
MD
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
31841
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPI 53790037
—
MD
Enumeration date
02/07/2012
Last updated
10/28/2016
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