Provider Demographics
NPI:1063950103
Name:MEYER-MCCABE, BETHANNE (CRNP)
Entity type:Individual
Prefix:MS
First Name:BETHANNE
Middle Name:
Last Name:MEYER-MCCABE
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:MERCY PROFESSIONAL BUILDING
Mailing Address - Street 2:1350 LOCUST STREET SUITE 105
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219
Mailing Address - Country:US
Mailing Address - Phone:412-232-8345
Mailing Address - Fax:
Practice Address - Street 1:MERCY HOSPITAL, PROFESSIONAL BUILDING
Practice Address - Street 2:1350 LOCUST STREET , SUITE 105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-232-8345
Practice Address - Fax:412-232-3690
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily