Provider Demographics
NPI:1730874777
Name:HARTNETT, BETHANY PRICE (CRNP)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:PRICE
Last Name:HARTNETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 CHESTNUT ST FL 11
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3612
Mailing Address - Country:US
Mailing Address - Phone:215-503-3000
Mailing Address - Fax:215-503-4099
Practice Address - Street 1:1101 CHESTNUT ST FL 11
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-3612
Practice Address - Country:US
Practice Address - Phone:215-503-3000
Practice Address - Fax:215-503-4099
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027027363L00000X
NJ26NJ01399500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner