Provider Demographics
NPI:1952042210
Name:BETHJE, KARINA ALEXI (RN)
Entity Type:Individual
Prefix:MS
First Name:KARINA
Middle Name:ALEXI
Last Name:BETHJE
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 1:2806 N 65TH PL
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-2141
Mailing Address - Country:US
Mailing Address - Phone:360-852-5454
Mailing Address - Fax:
Practice Address - Street 1:2806 N 65TH PL
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-2141
Practice Address - Country:US
Practice Address - Phone:360-852-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00152666163WE0003X
WAAP61334650363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WE0003XNursing Service ProvidersRegistered NurseEmergency