Individual
STEPHANIE LYNN BODAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1310 W BLOOMFIELD RD STE C, BLOOMINGTON, IN 47403-2001
(812) 334-2772
Mailing address
1567 W LEIGHTON LN, BLOOMINGTON, IN 47403-8949
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71013603A
IN
363LP2300X
Primary Care Nurse Practitioner
71013603B
IN
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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