Individual provider · Type 1 NPI

Bethanne Johnston, NP

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1457438467 Active

Practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Fax (317) 222-2154

Mailing address

PO Box 778912
Chicago, IL 60677-8912

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X28106651 (IN)
Pediatric Nurse Practitioner Primary 363LP0200X71001903 (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457438467

Bethanne Johnston, NP's National Provider Identifier is 1457438467, issued on Nov 1, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 5, 2023.