Bethany Eilers, FNP
Individual provider Active NPI Family Nurse Practitioner · Riverview, MI
NPI 1104436385 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1104436385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704261292NSA200IS (MI)
- Practice address
- 14550 Shenandoah Dr
Riverview, MI 48193-7727 - Phone
- (313) 515-0406
- NPI assigned
- Aug 3, 2020
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704261292NSA200IS | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704261292NSA200IS | MI | Yes |
Addresses
Primary practice location
14550 Shenandoah Dr
Riverview, MI 48193-7727
Mailing address
14550 Shenandoah Dr
Riverview, MI 48193-7727
Phone (313) 515-0406
Other providers in Riverview, MI
- Downriver Speech Clinic LLC
- Jeannie F Drinkert
- Michael Walter Dudick
- Donald John Duford
- Karen Dunnigan
- Danielle E Ekin
- Helen Etemadi
- Family Health PC
- Cristina Natasha Franqui
- Michael Andrew Freedman
All providers in Riverview, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. 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.