Individual
BETHANY JEAN GADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
13430 E 13 MILE RD, WARREN, MI 48088-3187
(586) 427-1351
(586) 468-5669
Mailing address
7211 CARDINAL ST, CLAY, MI 48001-4107
(810) 335-3698
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
4704266651
MI
363LF0000X
Family Nurse Practitioner
Primary
4704266651
MI
Other
Enumeration date
10/17/2017
Last updated
05/03/2018
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