Provider Demographics
NPI:1063105971
Name:BETHEA, CAMESHA MONIQUE (RN)
Entity type:Individual
Prefix:
First Name:CAMESHA
Middle Name:MONIQUE
Last Name:BETHEA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-3659
Mailing Address - Country:US
Mailing Address - Phone:910-506-2101
Mailing Address - Fax:
Practice Address - Street 1:105 W RAILROAD ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3659
Practice Address - Country:US
Practice Address - Phone:910-506-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC334356163WA0400X, 163WA2000X, 163WC0400X, 163WC1500X, 163WC2100X, 163WE0003X, 163WH0200X, 163WI0600X, 163WP0000X, 163WP0807X, 2083A0300X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine