Provider Demographics
NPI:1306542576
Name:OSTER, BETHANY MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:MARIE
Last Name:OSTER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9702 GROVE LAKE WAY UNIT 107
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5199
Mailing Address - Country:US
Mailing Address - Phone:701-640-9634
Mailing Address - Fax:
Practice Address - Street 1:1787 VETERANS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-6946
Practice Address - Country:US
Practice Address - Phone:865-205-9509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant