Individual provider · Type 1 NPI
Stephanie Lynn Bodamer, FNP-C
Primary Care Nurse Practitioner · Bloomington, IN
NPI number
1104524818
Active
Practice location
1310 W Bloomfield Rd Ste C
Bloomington, IN 47403-2001
Mailing address
1567 W Leighton Ln
Bloomington, IN 47403-8949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 71013603B (IN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 71013603A (IN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1104524818
Stephanie Lynn Bodamer, FNP-C's National Provider Identifier is 1104524818, issued on Feb 21, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bloomington, IN. The record was last updated on Feb 21, 2023.