Provider Demographics
NPI:1275317943
Name:HERNANDEZ, BETHANNY LYNNE (CRNP)
Entity Type:Individual
Prefix:
First Name:BETHANNY
Middle Name:LYNNE
Last Name:HERNANDEZ
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 1:37 E GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YOE
Mailing Address - State:PA
Mailing Address - Zip Code:17313-1201
Mailing Address - Country:US
Mailing Address - Phone:410-971-4588
Mailing Address - Fax:
Practice Address - Street 1:4222 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-8083
Practice Address - Country:US
Practice Address - Phone:717-812-7812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027941363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health