GRACE ELIZABETH BETHELL
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1780229476- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 605 GANDY ST NE, RUSSELLVILLE, AL, 356531911
- Phone
- (256) 381-6963
Specialties & Taxonomies
Registered Nurse
License: AL #1-159728
Nurse Practitioner
Primary License: AL #1-159728