National Provider Identifier
Bethany Renee Moore, RN
Bethany Renee Moore, RN is listed in the NPPES registry with a primary specialty of School Registered Nurse in Williamson, NY and a listed phone number of (315) 589-9625.
Profile Overview
- NPI
- 1144501958
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- September 07, 2011
- Last Updated
- September 07, 2011
Practice Location
- 5891 Route 21
- Williamson, NY 14589-9102
Phone: (315) 589-9625
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1144501958
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Bethany
- Middle Name
- Renee
- Name Prefix
- Mrs.
- Credential
- RN
- Mailing Street Address
- 5891 Route 21
- Mailing City
- Williamson
- Mailing State
- NY
- Mailing ZIP Code
- 14589-9102
- Mailing Country
- US
- Mailing Phone
- (315) 589-9625
- Practice Street Address
- 5891 Route 21
- Practice City
- Williamson
- Practice State
- NY
- Practice ZIP Code
- 14589-9102
- Practice Country
- US
- Practice Phone
- (315) 589-9625
- Enumeration Date
- September 07, 2011
- Last Updated
- September 07, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)