Organization
BETHANY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANNESSA DAVIS DNP, APRN (NP)
(603) 601-4766
Entity
Organization
Contact information
Practice address
10 BENNING ST STE 160 #208, WEST LEBANON, NH 03784-3402
(603) 601-4766
(603) 506-6362
Mailing address
10 BENNING ST STE 160, WEST LEBANON, NH 03784-3402
(603) 601-4766
(603) 506-6362
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
12/28/2021
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