Doctor Name: | BETHANY A. TUTTLE |
NPI Number: | 1043540487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RO29276 |
Business Practice Address: | 1604 Benton Ave Benton, ME - 049013327 |
Business Phone Number: | 2074534708 |
Business Fax Number: | 2074536250 |
Mailing Address: | 1604 Benton Ave, BENTON |
State: | ME |
Postal Code: | 049013327 |
Phone Number: | 2074534708 |
Fax Number: | 2074536250 |
NPI Enumeration Date: | 01/07/2010 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RO29276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |