Individual
BETH ANNE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1633 N CAPITOL AVE STE 236, INDIANAPOLIS, IN 46202-1262
(317) 962-8067
(317) 963-5038
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 781-4900
(317) 781-4868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001328A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441790
—
IN
Enumeration date
05/12/2006
Last updated
05/11/2011
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