Provider Demographics
NPI:1164753067
Name:CORBETT, BETHANY FRANCES (RN)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:FRANCES
Last Name:CORBETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-2249
Mailing Address - Country:US
Mailing Address - Phone:413-485-7171
Mailing Address - Fax:413-485-7173
Practice Address - Street 1:57 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-2249
Practice Address - Country:US
Practice Address - Phone:413-485-7171
Practice Address - Fax:413-485-7173
Is Sole Proprietor?:No
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN215799163W00000X
171M00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide