Provider Demographics
NPI:1841389335
Name:PRETTI, BETH E (FNP)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:E
Last Name:PRETTI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:E
Other - Last Name:MESCALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9015 E 17TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2016
Practice Address - Country:US
Practice Address - Phone:317-355-7700
Practice Address - Fax:317-355-9027
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000771A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000681362OtherANTHEM
IN200372020Medicaid
INP01756634OtherRR MEDICARE
INP01756634OtherRR MEDICARE
INM400058498Medicare PIN