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Contact Information

ANGELA D BETHUNE, ARNP
508 COUNTY ROAD 155
FLAT ROCK, AL35966-9127
 Phone: 352-636-4193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGELA D BETHUNE · (Female)

NPI Number 1942258272
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/05/2006
Last updated 08/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-185052
  • FL License # ARNP1742912
  • GA License # GAA-NP000485
  • MA License # RN268922
  • NC License # 5013540
  • TN License # 30628
  • FL Medicaid 300864900
  • TN Medicaid Q081665
  • FL Other 593736126 AETNA
  • FL Other 82127 BCBS
Hospital affiliation(s)
  • PARK RIDGE HEALTH - (Acute Care)
    100 HOSPITAL DRIVE
    HENDERSONVILLE, NC 28792
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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