KENATTA BETHEA PMHNP-BC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1376133496- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PMHNP-BC
- Status
- Active
Contact & Location
- Address
- 424 HAMILTON BLVD, SOUTH BOSTON, VA, 245925200
- Phone
- (434) 572-2936
- Fax
- (434) 572-4665
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: VA #0024180834