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Contact Information

GRACE E BETHELL
605 GANDY ST NE
RUSSELLVILLE, AL35653-1911
 Phone: 256-381-6963
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for GRACE E BETHELL · (Female)

NPI Number 1780229476
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2019
Last updated 03/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1-159728
Hospital affiliation(s) Not Available
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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