# MRS. BETHANY CARLA DULL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376852319
- **Gender:** F
- **Credential:** RN, MSN, NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN.284444 | OH | — |
| 363LF0000X | Family Nurse Practitioner | COA.11868-NP | OH | — |
| 363LP2300X | Primary Care Nurse Practitioner | APRN.CNP11868 | OH | Yes |

## Other

- **Enumeration date:** 09/24/2010
- **Last updated:** 08/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3099490 | — | OH |