Individual
BETHANY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3377 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 399-3310
(304) 523-5416
Mailing address
3377 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 399-3310
(304) 523-5416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71198
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147182
—
OH
05
—
3810029904
—
WV
Enumeration date
08/27/2015
Last updated
03/07/2016
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