# BETHANN MARIE NUELLE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003887076
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R25291 | ND | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 02/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 025553 | BCBS ND | ND |
| 05 | — | 19831 | — | ND |
| 01 | — | 309S5NU | BCBS MN | MN |
| 01 | — | 5613280001 | ADMINISTAR | — |
| 01 | — | P00263990 | RR MEDICARE | — |