Healthcare Provider Details

I. General information

NPI: 1730128422
Provider Name (Legal Business Name): BETH TURPIN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 10/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 VITALITY DR
FORTVILLE IN
46040-1273
US

IV. Provider business mailing address

PO BOX 129
GREENFIELD IN
46140-0129
US

V. Phone/Fax

Practice location:
  • Phone: 317-477-6400
  • Fax: 317-477-6409
Mailing address:
  • Phone: 317-468-6270
  • Fax: 317-468-6268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28075482A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: