Provider Demographics
NPI:1790223873
Name:STEVERMER, BETHANY LAYNE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:LAYNE
Last Name:STEVERMER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1801 19TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-4946
Mailing Address - Country:US
Mailing Address - Phone:320-231-3277
Mailing Address - Fax:320-214-5758
Practice Address - Street 1:1801 19TH AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-4946
Practice Address - Country:US
Practice Address - Phone:320-231-3277
Practice Address - Fax:320-214-5758
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2024-10-10
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Provider Licenses
StateLicense IDTaxonomies
MN57910363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant