Provider Demographics
NPI:1013713452
Name:DEAKINS, BETHANY ANNE (MPH)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:ANNE
Last Name:DEAKINS
Suffix:
Gender:
Credentials:MPH
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:ANNE
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2011 SUNNYLAWN DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3546
Mailing Address - Country:US
Mailing Address - Phone:419-490-5227
Mailing Address - Fax:
Practice Address - Street 1:2110 TREMAINSVILLE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-3409
Practice Address - Country:US
Practice Address - Phone:419-725-7892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator