National Provider Identifier
Bethannie J Shortall, RN
Bethannie J Shortall, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Waterport, NY and a listed phone number of (585) 664-8975.
Profile Overview
- NPI
- 1912637109
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- June 13, 2022
- Last Updated
- June 13, 2022
Practice Location
- 1984 Main St
- Waterport, NY 14571-9797
Phone: (585) 664-8975
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1912637109
- Entity Type
- Individual
- Last Name
- Shortall
- First Name
- Bethannie
- Middle Name
- J
- Name Prefix
- MS.
- Credential
- RN
- Mailing Street Address
- 1984 Main St
- Mailing City
- Waterport
- Mailing State
- NY
- Mailing ZIP Code
- 14571-9797
- Mailing Country
- US
- Mailing Phone
- (585) 664-8975
- Practice Street Address
- 1984 Main St
- Practice City
- Waterport
- Practice State
- NY
- Practice ZIP Code
- 14571-9797
- Practice Country
- US
- Practice Phone
- (585) 664-8975
- Enumeration Date
- June 13, 2022
- Last Updated
- June 13, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)