Healthcare Provider Details

I. General information

NPI: 1134434293
Provider Name (Legal Business Name): WENDE J BETTS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8246 HUNT HOLLOW RD
NAPLES NY
14512-9536
US

IV. Provider business mailing address

8246 HUNT HOLLOW RD P.O. BOX 35 8246 HUNT HOLLOW ROAD
NAPLES NY
14512-9536
US

V. Phone/Fax

Practice location:
  • Phone: 585-507-5225
  • Fax:
Mailing address:
  • Phone: 585-507-5225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number616032
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: