Individual
MS. BETHANY JEAN VANDERSLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, MBA, CHSE
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
1429 LAWRENCE AVE, LEAVENWORTH, KS 66048-3668
(913) 972-8128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-87710-092
KS
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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