Mundy, Beth
Mundy, Beth is an individual health care provider with primary practice located at 2920 S Mcintire Dr Ste 350 , Bloomington IN 47403-4215. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mundy, Beth can be contacted via phone (812) 353-3277.Contact Information
Primary practice address
2920 S Mcintire Dr Ste 350
Bloomington IN 47403-4215
Phone: (812) 353-3277
Fax: (812) 333-2433
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001438 | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001438 | Indiana |
Profile Details
NPI number | 1457301020 |
---|---|
LBN Legal business name | Mundy, Beth |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Nov 19th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457301020 | NPPES |
Indiana | MEDICAID | 200387950 |
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