| Doctor Name: | BETHANY GELERIS |
| NPI Number: | 1043680978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP015426 |
| Business Practice Address: | 2301 E Allegheny Ave 203 Phila, PA - 191344427 |
| Business Phone Number: | 2154265679 |
| Business Fax Number: | 2157397304 |
| Mailing Address: | 768 S 15th St, PHILA |
| State: | PA |
| Postal Code: | 191462136 |
| Phone Number: | 9095684395 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2015 |
| NPI Last Update Date: | 10/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0200X |
| License Number: | SP015426 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |