Provider Demographics
NPI:1780388108
Name:BRUBAKER, BETHANY FLORENCE (CPM)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:FLORENCE
Last Name:BRUBAKER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 WEAVERLAND VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:EAST EARL
Mailing Address - State:PA
Mailing Address - Zip Code:17519-9677
Mailing Address - Country:US
Mailing Address - Phone:717-254-9325
Mailing Address - Fax:
Practice Address - Street 1:132 WEAVERLAND VALLEY RD
Practice Address - Street 2:
Practice Address - City:EAST EARL
Practice Address - State:PA
Practice Address - Zip Code:17519-9677
Practice Address - Country:US
Practice Address - Phone:717-254-9325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife