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Individual

BETH A. PRUSINSKI

Active
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Individual

BETH A. PRUSINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28082210A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71002871A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200929680
IN
Enumeration date
12/02/2008
Last updated
11/17/2014
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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