Healthcare Provider Details

I. General information

NPI: 1215486972
Provider Name (Legal Business Name): BETTY J. BATTAGLIA CRNP, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BETTY HUTSON FNP-C

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W HIGH ST STE 302
ELKTON MD
21921-8617
US

IV. Provider business mailing address

90 CLEAR CREEK GLN
ELKTON MD
21921-6764
US

V. Phone/Fax

Practice location:
  • Phone: 410-620-0545
  • Fax: 410-620-0544
Mailing address:
  • Phone: 443-350-2189
  • Fax: 410-392-8092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR192725
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number04562
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: