| Doctor Name: | MRS. BETH W DICKEY |
| NPI Number: | 1629250170 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 1104602 |
| Business Practice Address: | 1315 Nw 21st Ave Suite 1 Chiefland, FL - 326261977 |
| Business Phone Number: | 3524931655 |
| Business Fax Number: | 3524908641 |
| Mailing Address: | 4881 Nw 8th Ave, Suite 2 GAINESVILLE |
| State: | FL |
| Postal Code: | 326054582 |
| Phone Number: | 3523736338 |
| Fax Number: | 3523736144 |
| NPI Enumeration Date: | 11/27/2007 |
| NPI Last Update Date: | 10/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1104602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |