Individual
BETHANY VAREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E HIGHWAY 50, O FALLON, IL 62269
(618) 624-3368
Mailing address
320 E HIGHWAY 50, O FALLON, IL 62269-2704
(618) 624-3368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.014684
IL
363LF0000X
Family Nurse Practitioner
209.014684
IL
Other
Enumeration date
09/20/2016
Last updated
09/14/2021
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