Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany C Pan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356037154

Bethany C Pan is a Student in an Organized Health Care Education/Training Program in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2023.

Licensed in
NE
In the registry since
2023

Practice location Address checks out

1319 Leavenworth St
Omaha, NE 68102-3215
Phone: (402) 552-3222
Fax: (402) 552-2172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NE)

Record details

NPI number1356037154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing addressPo Box 307, Advance, NC 27006-0307

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