Individual provider · Type 1 NPI

Bethany Hertog

Family Nurse Practitioner · Indianapolis, IN

NPI number 1417401787 Active

Practice location

429 E Vermont St, Ste 110
Indianapolis, IN 46202-3685

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28170125A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1417401787

Bethany Hertog's National Provider Identifier is 1417401787, issued on Aug 4, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 17, 2020.