Provider Demographics
NPI:1508184037
Name:PRICE, BETH ANN (RN)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:PRICE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-3204
Mailing Address - Country:US
Mailing Address - Phone:814-362-3631
Mailing Address - Fax:814-362-9803
Practice Address - Street 1:7 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-3204
Practice Address - Country:US
Practice Address - Phone:814-362-3631
Practice Address - Fax:814-362-9803
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN210645L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse