National Provider Identifier Database

STEPHANIE L BODAMER, FNP-C – NPI #1104524818
Primary Care


Contact Information

STEPHANIE L BODAMER, FNP-C
1310 W BLOOMFIELD RD STE C
BLOOMINGTON, IN47403-2001
Phone: 812-334-2772
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 363LP2300X

* Indicates primary specialty

NPI Profile & details for STEPHANIE L BODAMER

NPI Number 1104524818
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 02/21/2023
Last updated 02/21/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 71013603A
  • IN License #: 71013603B
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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