Bethel, Clarisse

Bethel, Clarisse is an sole proprietor health care provider with primary practice located at 1408 Golf Course Dr , Bowie MD 20721-2330. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse, Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Nursing Service Providers / Registered Nurse is her primary health care specialty. Bethel, Clarisse can be contacted via phone (240) 643-5523.

Contact Information

Primary practice address
1408 Golf Course Dr Bowie MD 20721-2330
Phone: (240) 643-5523
Fax: (301) 808-3060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R176704 Maryland
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP42451 Maryland
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Home Health Aide 374U00000X 31841 Maryland

Profile Details

NPI number 1720350770
LBN Legal business name Bethel, Clarisse
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2012
Last updated Oct 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720350770 NPPES
Maryland MEDICAID NPI 53790037

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