Provider Demographics
NPI:1205304896
Name:MCCAHREN, BETH (RN)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:MCCAHREN
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:PO BOX 574
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-0574
Mailing Address - Country:US
Mailing Address - Phone:814-934-4231
Mailing Address - Fax:814-693-5955
Practice Address - Street 1:125 MAPLE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-7920
Practice Address - Country:US
Practice Address - Phone:814-934-4231
Practice Address - Fax:814-693-5955
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN303663L163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health