Bethany Carlson
Individual provider Active NPI Registered Nurse · Saint Cloud, MN
NPI 1235949652 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1235949652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2228725 (MN)
- Practice address
- 4801 Veterans Dr
Saint Cloud, MN 56303-2015 - Phone
- (320) 252-1670
- NPI assigned
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2228725 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2228725 | MN | Yes |
Addresses
Primary practice location
4801 Veterans Dr
Saint Cloud, MN 56303-2015
Mailing address
4801 Veterans Dr
Saint Cloud, MN 56303-2015
Phone (320) 252-1670
Other providers in Saint Cloud, MN
- Careconnect Health Services LLC
- Caremmax
- Mary Kay Carle
- Erin Carlsen
- Ashely Nicole Carlson
- Brianne Marie Carlson
- Heidi Jean Carlson
- Karen J. Carlson
- Kayla Mae Carlson
- Leonard Earl Carlson
All providers in Saint Cloud, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.