Provider Demographics
NPI:1164667721
Name:FOLZ, BETH ANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANNE
Last Name:FOLZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:BETH
Other - Middle Name:ANNE
Other - Last Name:KUEGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:601 N BOEKE RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-5925
Mailing Address - Country:US
Mailing Address - Phone:812-476-4912
Mailing Address - Fax:
Practice Address - Street 1:601 N BOEKE RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5925
Practice Address - Country:US
Practice Address - Phone:812-476-4912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28085928A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse