BETHANY NUNN (NPI# 1417301672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417301672 |
| Entity Type | Individual |
| Full Name | BETHANY NUNN |
| Credential | FNP |
| Practice Address |
3400 Hiram St Apt A1 Saint Charles MO 63301-8263 |
| Practice Telephone | 6362883004 |
| Mailing Telephone | 6362883004 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016004492 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3400 HIRAM ST APT A1 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-8263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049698 | Amanda J Ben | Nurse Practitioner | 23 Terre Verte Ct, Saint Charles, MO 63304-1217 | 2020-06-30 |
| 1790306421 | Intentional Living Primary Health Care, LLC | Nurse Practitioner | 1550 Wall St Ste 223, Saint Charles, MO 63303-3548 | 2020-05-05 |
| 1073160818 | Denise Jacqueline Wagster | Nurse Practitioner | 51 Destin Ct, Saint Charles, MO 63303-7314 | 2019-08-26 |
| 1013560697 | Kim Locklear | Nurse Practitioner | 804 Pecan Hill Dr, Saint Charles, MO 63304-5053 | 2019-07-22 |
| 1740751387 | Kelsey Lauren Ring | Nurse Practitioner | 217 Kingdom Dr, Saint Charles, MO 63301-4586 | 2018-12-07 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1952813958 | Angela Kristeen Mcdonnell | Nurse Practitioner | 330 1st Capitol Dr Ste 470, Saint Charles, MO 63301-2847 | 2017-10-30 |
| 1538699244 | Jeffrey Terry Vacek | Nurse Practitioner | 725 S 5th St, Saint Charles, MO 63301-2913 | 2017-06-14 |
| 1730627704 | Rachael Wichern | Nurse Practitioner | 711 Veterans Memorial Pkwy, Saint Charles, MO 63303-2106 | 2017-02-09 |
| 1134671845 | Pracedes Del Mundo Vergara | Nurse Practitioner | 5n170 Dover Hill Rd, Saint Charles, IL 60175-5109 | 2016-10-28 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
Please comment or provide details below to improve the information on BETHANY NUNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.