Earthman, Beth Ann
Earthman, Beth Ann is an individual health care provider with primary practice located at 4545 Cordata Pkwy , Bellingham WA 98226-7263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Earthman, Beth Ann can be contacted via phone (360) 752-5246.Contact Information
Primary practice address
4545 Cordata Pkwy
Bellingham WA 98226-7263
Phone: (360) 752-5246
Fax: (509) 865-0757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP60551118 | Washington |
Profile Details
| NPI number | 1396126512 |
|---|---|
| LBN Legal business name | Earthman, Beth Ann |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2015 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396126512 | NPPES |
| Washington | MEDICAID | 1396126512 | |
| Washington | Other | G8941771 |
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