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1154864171
BETHANY WHITE
LOUISVILLE, KY
NPI
1154864171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010402)
Enumeration Date
2016-11-22
Last Update Date
2019-11-05
Business Address
BETHANY WHITE MSN, FNP-C
4123 DUTCHMANS LANE SUITE 515
LOUISVILLE, KY 40207-4730
Phone number: 502-899-6907
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Mailing Address
BETHANY WHITE MSN, FNP-C
PO BOX 776347
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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