Provider Demographics
NPI:1477119386
Name:KASKEL, BETH LISA (DNP, MSN, A-GNP-C)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:LISA
Last Name:KASKEL
Suffix:
Gender:F
Credentials:DNP, MSN, A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 WILLIAM AVE
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-9279
Mailing Address - Country:US
Mailing Address - Phone:419-890-8856
Mailing Address - Fax:
Practice Address - Street 1:400 W 7TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MANCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46962-1199
Practice Address - Country:US
Practice Address - Phone:260-201-2701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRNCNP024413363LA2200X
IN71008960A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health