Most Relevant Information
Provider Data
| NPI Number: | 1003535535 |
| Provider Name: | BETHANY IRISH RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN2368110 |
Most Important Dates
| Enumeration Date: | 08/26/2022 |
| Last Updated: | 08/26/2022 |
Provider Practice Location
19 TACOMA ST
WORCESTER
MA
016053516
Practice Location Phone/Fax
| Phone: | 5088521805 |
| Fax: |
Provider Mailing Location
53 FLINT RD
CHARLTON
MA
015075147
Provider Mailing Phone/Fax
| Phone: | 7742329514 |
| Fax: |