Individual
BETTINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
Mailing address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002909A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937630
—
IN
01
—
71002909A
PRESCRIPTIVE AUTHORITY
IN
Enumeration date
09/05/2007
Last updated
07/22/2022
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