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NPI Code Detail

MEDICARE: FRANCES ANN BETTENCOURT NP

MEDICARE: FRANCES ANN BETTENCOURT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNPP15813RI

General Provider Information

NPI Number : 1174510853
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES ANN BETTENCOURT NP
Provider Business Mailing Address
First Line : 1320 HOPE ST
Second Line :
City : BRISTOL
State : RI
Zip : 02809-1155
Country : US
Telephone Number : 401-253-6816
Fax Number :
Provider Business Practice Location Address
First Line : 830 CHALKSTONE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-4734
Country : US
Telephone Number : 401-273-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 12/18/2007

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