Individual
BETHANY CHIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1435 SE 8TH TER STE E, CAPE CORAL, FL 33990
(239) 424-2757
(239) 772-0186
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2757
(239) 772-0186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9491414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102000700
—
FL
Enumeration date
07/29/2015
Last updated
01/04/2023
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