NPI 1093182529

Bathsheba Etheridge

Practitioner Contractor East Stroudsburg, PA

Practice location

Address: 128 Pasquin Drive, East Stroudsburg, PA 18301
Phone: (570) 236-4989
Fax: (570) 730-4022

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 057541011 (NY)

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Registry record

NPI: 1093182529
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2015
Record last updated: 1 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.