Deborah A Bethel, APRN
Individual provider Active NPI Nurse Practitioner · Bomoseen, VT
NPI 1013934033 · NPPES record last updated Jul 13, 2012
Key facts
- NPI
- 1013934033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1010014964 (VT)
- Practice address
- 275 Route 30 N
Castleton Family Health Center
Bomoseen, VT 05732-9647 - Phone
- (802) 468-5641
- Fax
- (802) 468-2923
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010014964 | VT | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1010014964 | VT | Yes |
Addresses
Primary practice location
275 Route 30 N
Castleton Family Health Center
Bomoseen, VT 05732-9647
Mailing address
275 Route 30 N
Castleton Family Health Center
Bomoseen, VT 05732-9647
Phone (802) 468-5641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ONS2005 | Medicaid | VT |
Other providers in Bomoseen, VT
- Luis A Bauzo
- Sally J Beayon
- Katelyn Doran Belden
- Bradley Alan Berryhill
- Edward William Brown
- Samuel Joseph Cahill
- Julia Carone
- Lynne L Colville
- Community Health Centers of the Rutland Region, Inc.
All providers in Bomoseen, VT · Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.