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General NPI Number Information
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NPI Number | 1083852206
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Entity Type | Individual
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Provider Name | BONNIE SUE BETTS NP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1815 E LAKE MEAD BLVD STE 215
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7190
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Country | US
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Telephone | 702-818-1919
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Fax | 702-399-5499
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Provider Business Mailing Address
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Address Line | 1815 E LAKE MEAD BLVD STE 215
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7190
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Country | US
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Telephone | 702-818-1919
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Fax | 702-399-5499
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 811300
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 15404
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License Number State | CA
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