Individual
BETHANY S BIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
212 W SPAULDING ST, CHECOTAH, OK 74426-2452
(918) 967-3368
(918) 967-4582
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
109224
OK
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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