Bethea, Bridget Denise

Bethea, Bridget Denise is an individual health care provider with primary practice located at 2840 N Dysart Rd , Goodyear AZ 85395-2338. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bethea, Bridget Denise can be contacted via phone (623) 536-5310.

Contact Information

Primary practice address
2840 N Dysart Rd Goodyear AZ 85395-2338
Phone: (623) 536-5310
Fax: (401) 652-9787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169131 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335325-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN221907 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP5151 Arizona

Profile Details

NPI number 1376733758
LBN Legal business name Bethea, Bridget Denise
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Aug 11th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376733758 NPPES
Arizona MEDICAID 873862

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