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Individual

BETHANY L ODERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-8231
(317) 948-7300
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71007902A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001469245
ANTHEM PTAN
IN
05
300032167
IN
Enumeration date
10/15/2019
Last updated
02/14/2025
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