Chidley, Bethany

Chidley, Bethany is an individual health care provider with primary practice located at 1435 Se 8Th Ter Ste E , Cape Coral FL 33990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chidley, Bethany can be contacted via phone (239) 424-2757.

Contact Information

Primary practice address
1435 Se 8Th Ter Ste E Cape Coral FL 33990
Fax: (239) 772-0186
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9491414 Florida

Profile Details

NPI number 1871978056
LBN Legal business name Chidley, Bethany
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2015
Last updated Jan 4th, 2023 - about 3 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 1871978056 NPPES
Florida MEDICAID 102000700

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