Healthcare Provider Details

I. General information

NPI: 1508503376
Provider Name (Legal Business Name): SABINA J BETT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2022
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MEDICAL PARK DR
WATERVLIET MI
49098-9225
US

IV. Provider business mailing address

400 MEDICAL PARK DR
WATERVLIET MI
49098-9225
US

V. Phone/Fax

Practice location:
  • Phone: 269-985-4467
  • Fax: 269-429-5606
Mailing address:
  • Phone: 269-985-4467
  • Fax: 269-429-5606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704246409
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704246409
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: