Provider Demographics
NPI:1194945824
Name:HARPLE, BETH LOUISE (PA-C)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:LOUISE
Last Name:HARPLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HOMESTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6150
Mailing Address - Country:US
Mailing Address - Phone:203-794-1558
Mailing Address - Fax:
Practice Address - Street 1:27 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5954
Practice Address - Country:US
Practice Address - Phone:203-798-0500
Practice Address - Fax:203-798-0881
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000321363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant