Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BETHANNIE J SHORTALL, RN
ActiveMS. BETHANNIE J SHORTALL, RN is a Registered Nurse healthcare provider located in WATERPORT, New York. NPI 1912637109 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · WATERPORT, NY
Registration Details
- NPI Number
- 1912637109
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2022 (4.1995200986886 yrs)
- Last Updated
- Jun 13, 2022
- License
-
682264-01 (NY)
Practice Information
- Address
-
1984 MAIN STWATERPORT, NY, 145719797Browse NY providers · Browse ZIP 14571
- Phone
- 5856648975
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.