Individual
BETHANY STOCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4065 LAPLANTE RD, MONCLOVA, OH 43542-9540
(419) 508-6159
Mailing address
4065 LAPLANTE RD, MONCLOVA, OH 43542-9540
(661) 524-4781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
420564
OH
164W00000X
Licensed Practical Nurse
Primary
121816
OH
Other
Enumeration date
01/31/2011
Last updated
02/19/2026
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