Provider Demographics
NPI:1598341364
Name:HARR, BETHANY LEIGH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:LEIGH
Last Name:HARR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:LEIGH
Other - Last Name:HARR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2815 MCCLINTOCK RD
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-2738
Mailing Address - Country:US
Mailing Address - Phone:412-773-1673
Mailing Address - Fax:
Practice Address - Street 1:2815 MCCLINTOCK RD
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-2738
Practice Address - Country:US
Practice Address - Phone:412-773-1673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023076363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily