Individual
BETH ANN MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2810 S DEBORAH DR, BLOOMINGTON, IN 47403-4228
(812) 353-2660
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001438
IN
363LF0000X
Family Nurse Practitioner
Primary
71001438
IN
363LF0000X
Family Nurse Practitioner
71001438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200387950
—
IN
Enumeration date
05/12/2006
Last updated
02/02/2026
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