Ms. Bethany Nelson, PA-C
Physician Assistant, Surgical in Providence, Rhode Island
1912217415- Practice location
- 164 Summit Ave, C70, Providence, RI 02906-2853
- Phone
- 401-793-4545
- Fax
- 401-793-7866
- Last updated
- August 4, 2025
Bethany Nelson is a Physician Assistant, Surgical based in Providence, RI. Bethany Nelson practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Bethany Nelson is 1912217415 and holds a License No. PA00560 (RI). The current practice location address for Bethany Nelson is 164 Summit Ave, C70, Providence, RI 02906-2853 and can be reached out via phone at 401-793-4545 and via fax at 401-793-7866.
Provider Profile Details
- NPI Number
- 1912217415
- Provider Name
- Bethany Nelson
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 164 Summit Ave, C70, Providence, RI 02906-2853
- Phone Number
- 401-793-4545
- Fax Number
- 401-793-7866
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2010
- Last Update Date
- August 4, 2025
- Certification Date
- August 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 164 Summit Ave
C70
Providence, RI 02906-2853 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-2853
- Phone Number
- 401-793-4545
- Fax Number
- 401-793-7866
Provider Business Mailing Address Details
- Address
- Po Box 16149
Rumford, RI 02916-0697 - City
- Rumford
- State
- RI
- Zip
- 02916-0697
- Phone Number
- 401-453-9625
- Fax Number
- 401-435-7069
License Information
- License Number
- PA00560
- License State
- RI
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Providence, RI
View all Physician Assistant, Surgical providers in Providence →- Alexandra Sarnowski, PAPhysician Assistant, Surgical · NPI 1376562496
- Brittany E Rowles, PA-CPhysician Assistant, Surgical · NPI 1194260984
- Brooke Lemme, PHYSICIAN ASSISTANTPhysician Assistant, Surgical · NPI 1508185182
- Dawn M Jenison, PA-CPhysician Assistant, Surgical · NPI 1194907790
- Elisa M Wasilewski, PA-CPhysician Assistant, Surgical · NPI 1912235318
- Haylee Kurkoski, PA-CPhysician Assistant, Surgical · NPI 1033776398
Frequently Asked Questions
What is the NPI number of Ms. Bethany Nelson, PA-C?
The NPI number of Ms. Bethany Nelson, PA-C is 1912217415. It was assigned on October 18, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Bethany Nelson, PA-C?
Ms. Bethany Nelson, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in RI under license number PA00560.
Where does Ms. Bethany Nelson, PA-C practice?
The practice location is 164 Summit Ave, C70, Providence, RI 02906-2853. The office can be reached at 401-793-4545 (phone) or 401-793-7866 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912217415 directly on the NPPES registry website.