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Individual
BETH A VINCENT
Active
Individual
BETH A VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000448A
IN
363L00000X
Nurse Practitioner
Primary
71000448A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311143
BCBS - CROSS POINTE LOCAT
IN
01
—
000000518059
BCBS - DMGW
IN
05
—
78015724
—
IL
01
—
P00150278
RR MEDICARE NUMBER
IN
Enumeration date
05/17/2006
Last updated
01/22/2026
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