Individual
MRS. BETH A GLADFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2354 W BOULEVARD, KOKOMO, IN 46902-6069
(765) 457-4800
Mailing address
2354 W BOULEVARD, KOKOMO, IN 46902-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001750A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200979450
—
IN
Enumeration date
06/23/2006
Last updated
06/23/2022
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