Doctor Name: | KAREN M BETHUNE |
NPI Number: | 1003872938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP160923Z |
Business Practice Address: | 1850 59th St W Blake Park Ste B Bradenton, FL - 34209 |
Business Phone Number: | 9417924993 |
Business Fax Number: | 9417952905 |
Mailing Address: | Po Box 25487, Blake Park Ste B SARASOTA |
State: | FL |
Postal Code: | 342772487 |
Phone Number: | 9412025342 |
Fax Number: | 8552534836 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | ARNP160923Z |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |