| Doctor Name: | BEVERLY JEAN BETHEA |
| NPI Number: | 1932388501 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 0001138449 |
| Business Practice Address: | 4272 Berkley Ct King George, VA - 224855648 |
| Business Phone Number: | 2403467419 |
| Business Fax Number: | |
| Mailing Address: | 4272 Berkley Ct, KING GEORGE |
| State: | VA |
| Postal Code: | 224855648 |
| Phone Number: | 2403467419 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 10/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 0001138449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |