Provider Demographics
NPI:1679966295
Name:TRANES, BETH
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:TRANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WOODHILLS DR
Mailing Address - Street 2:APT 515
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1446
Mailing Address - Country:US
Mailing Address - Phone:845-313-1802
Mailing Address - Fax:
Practice Address - Street 1:500 WOODHILLS DR APT 515
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1450
Practice Address - Country:US
Practice Address - Phone:845-313-1802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY319457-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse