Lupa, Bethany Jean
Lupa, Bethany Jean is an individual health care provider with primary practice located at 1700 Oak Ave Suite 400, Muskegon MI 49442-2407. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lupa, Bethany Jean can be contacted via phone (231) 777-2093.Contact Information
Primary practice address
1700 Oak Ave Suite 400
Muskegon MI 49442-2407
Phone: (231) 777-2093
Fax: (231) 773-7500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704244262 | Michigan |
| Nursing Service Providers / Registered Nurse | 163W00000X | 4704244262 | Michigan |
| Other Service Providers / Midwife | 176B00000X | 4704244262 | Michigan |
Profile Details
| NPI number | 1548466055 |
|---|---|
| LBN Legal business name | Lupa, Bethany Jean |
| Credentials | R.N., C.N.M. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Sep 30th, 2026 - about 13.87662037037 days 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 | 1548466055 | NPPES |
| Michigan | Other | 4704244262 | STATE LICENSE |
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