MEDICARE: MRS. BETSY SUE CRAMER RN BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	4704244532	MI
2	363LP2300X	Primary Care Nurse Practitioner	4704244532	MI

General Provider Information

NPI Number	:	1003656281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETSY SUE CRAMER RN BSN

Provider Business Mailing Address
First Line	:	605 W CHICAGO RD
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-8400
Country	:	US
Telephone Number	:	517-924-1444
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 W CHICAGO RD
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-8400
Country	:	US
Telephone Number	:	517-924-1444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	08/21/2024

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