Provider Demographics
NPI:1225278872
Name:BAHN, BETH ANNE (CRNP)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:BAHN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-9732
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 FORSTER ST
Practice Address - Street 2:ROOM 628, HEALTH & WELFARE BUIILDING
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17120-0701
Practice Address - Country:US
Practice Address - Phone:717-787-2390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN226842L163W00000X
PATP005038B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse