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STEPHANIE LYNN BODAMER FNP-C
NPI 1104524818
Nurse Practitioner - Primary Care in Bloomington, IN

Active since February 21, 2023
1310 W BLOOMFIELD RD STE C, BLOOMINGTON, IN 47403(812) 334-2772 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Lynn Bodamer Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE LYNN BODAMER FNP-C (NPI 1104524818) is an individual primary care provider in Bloomington, Indiana, licensed in Indiana (71013603A) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1104524818
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSTEPHANIE LYNN BODAMERCredential: FNP-C
Location Address1310 W BLOOMFIELD RD STE CBloomington, IN 47403-2001
Mailing Address1567 W Leighton LnBloomington, IN 47403-8949
Phone(812) 334-2772
Sole ProprietorNo
Enumeration DateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1104524818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in IN · 71013603A✔ Licensed in IN · 71013603B
1310 W BLOOMFIELD RD STE C, Bloomington, IN 47403
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MARIE BONNOT FNP-C
Nurse Practitioner (Family)
1310 W BLOOMFIELD RD STE C
BLOOMINGTON, IN 47403
Monroe County (812) 334-2772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Bodamer's NPI number?

The NPI number for Stephanie Bodamer is 1104524818. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Where is Stephanie Bodamer located?

Stephanie Bodamer practices at 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403. The listed phone number is (812) 334-2772.

What is Stephanie Bodamer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Stephanie Bodamer was last updated on February 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.