Healthcare Provider Details

I. General information

NPI: 1376949644
Provider Name (Legal Business Name): BETSY STEIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 11/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 CLIFTON RD NE EMORY STUDENT HEALTH SERVICE, 2ND FLOOR
ATLANTA GA
30322-4200
US

IV. Provider business mailing address

1525 CLIFTON RD NE EMORY STUDENT HEALTH SERVICE, 2ND FLOOR
ATLANTA GA
30322-4200
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-9532
  • Fax:
Mailing address:
  • Phone: 404-727-9532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN100816
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: