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BETHANY ELAINE CONDRA NP NPI 1376952895


NPI Information

NPI: 1376952895
Provider Name: BETHANY ELAINE CONDRA, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MEMORIAL HEALTH PARTNERS FOUNDATION, INC

PECOS Registration: Yes

Address:
725 GLENWOOD DR STE E500
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 495-2635
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Bethany Elaine Condra, NP is a family nurse practitioner in Chattanooga, TN with 10 years of experience. Bethany Elaine Condra, NP NPI is 1376952895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

725 GLENWOOD DR STE E500
CHATTANOOGA, TN
ZIP 37404-138
Phone: (423) 495-2635
Fax: (423) 495-2638

The NPI 1376952895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2014 and was last updated on 6/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily18993TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.