| Doctor Name: | BETHANY JANE ABDE |
| NPI Number: | 1215331566 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGNP - BC |
| License Number: | RN259875 |
| Business Practice Address: | 100 Rosebrook Way Suite 300 Wareham, MA - 025711138 |
| Business Phone Number: | 5082734900 |
| Business Fax Number: | 5089734901 |
| Mailing Address: | 200 Mill Rd, Suite 180 FAIRHAVEN |
| State: | MA |
| Postal Code: | 027195252 |
| Phone Number: | 5089732000 |
| Fax Number: | 5089732001 |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN259875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |