Individual
BETHANY MICHIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2241 45TH ST, HIGHLAND, IN 46322-2601
(219) 922-8051
Mailing address
951 COOLWOOD DR, VALPARAISO, IN 46385-6103
(219) 798-9393
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71009873A
IN
Other
Enumeration date
03/10/2020
Last updated
02/17/2023
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