Provider Demographics
NPI:1437664778
Name:GUEVARA, BETHANN MARIE (DNP, NP-C)
Entity Type:Individual
Prefix:DR
First Name:BETHANN
Middle Name:MARIE
Last Name:GUEVARA
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
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Mailing Address - Street 1:10900 WORLD TRADE BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4202
Mailing Address - Country:US
Mailing Address - Phone:919-237-1337
Mailing Address - Fax:919-237-1625
Practice Address - Street 1:815 OBERLIN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1300
Practice Address - Country:US
Practice Address - Phone:919-322-4722
Practice Address - Fax:919-322-4729
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC178496163W00000X
NCF06172568363LF0000X
NC5010398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse