Berry, Bethany Richardson
Berry, Bethany Richardson is an individual health care provider with primary practice located at 4320 Diplomacy Dr , Anchorage AK 99508-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Berry, Bethany Richardson can be contacted via phone (907) 729-4955.Contact Information
Primary practice address
4320 Diplomacy Dr
Anchorage AK 99508-5925
Phone: (907) 729-4955
Fax: (907) 720-3073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 634 | Alaska |
Profile Details
| NPI number | 1699722959 |
|---|---|
| LBN Legal business name | Berry, Bethany Richardson |
| Credentials | CNM, MSN, SANE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jan 15th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699722959 | NPPES |
| Alaska | MEDICAID | NPO238 |
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