Bethany Marie Kordzi, RN
Individual provider Active NPI Registered Nurse · Export, PA
NPI 1891363230 · NPPES record last updated Jun 13, 2021
Key facts
- NPI
- 1891363230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- TN381733 (PA)
- Practice address
- 4830 William Penn Hwy
Export, PA 15632-9262 - Phone
- (172) 432-7823
- NPI assigned
- Jun 13, 2021
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN381733 | PA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | TN381733 | PA | Yes |
Addresses
Primary practice location
4830 William Penn Hwy
Export, PA 15632-9262
Mailing address
320 Murray Ave
Arnold, PA 15068-2106
Phone (724) 681-8194
Other providers in Export, PA
- Kathleen Blythe Thomas, LLC
- Kathleen C. Spadaro LLC
- Hannah Kelly
- Susan Alexandra Kick
- Logan Klepal
- Benjamin P Laferriere
- Madelyn Rea Levine
- Katelyn Lieu
- Crystal Lynn Longanecker
- Leigh Ann Lucas
All providers in Export, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2021. 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.