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Individual

MRS. ANGELA DAWN BETHUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
508 COUNTY ROAD 155, FLAT ROCK, AL 35966-9127
(352) 636-4193
Mailing address
508 COUNTY RD 155, FLAT ROCK, AL 35966-9127
(352) 636-4193

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-185052
AL
363LF0000X
Family Nurse Practitioner
30628
TN
363LF0000X
Family Nurse Practitioner
5013540
NC
363LF0000X
Family Nurse Practitioner
GAA-NP000485
GA
363LF0000X
Family Nurse Practitioner
RN268922
MA
363LP2300X
Primary Care Nurse Practitioner
ARNP1742912
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300864900
FL
01
593736126
AETNA
FL
01
82127
BCBS
FL
05
Q081665
TN
Enumeration date
05/05/2006
Last updated
08/01/2024
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