Provider Demographics
NPI:1407324403
Name:FALANDES, BETHANY LYNN (APN)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:LYNN
Last Name:FALANDES
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:LYNN
Other - Last Name:SIGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:201 LYONS AVENUE (NEWARK BETH ISRAEL MEDICAL CENTER)
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112
Mailing Address - Country:US
Mailing Address - Phone:973-926-7000
Mailing Address - Fax:
Practice Address - Street 1:201 LYONS AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2027
Practice Address - Country:US
Practice Address - Phone:973-926-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00861500363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics