Individual
BETHANY ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15995 W STATE ROAD 238, LAKE BUTLER, FL 32054-8501
(386) 496-9006
Mailing address
15995 W STATE ROAD 238, LAKE BUTLER, FL 32054-8501
(386) 496-9006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN243182
GA
Other
Enumeration date
06/28/2017
Last updated
10/02/2021
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