MEDICARE: BONNIE SUE BETTS NP

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	363LW0102X	Women's Health Nurse Practitioner	811300	NV
2	363LW0102X	Women's Health Nurse Practitioner	15404	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	811300	OTHER	NV	APRN-CNP LICENSE
2	442981	OTHER	CA	RN LICENSE

General Provider Information

NPI Number	:	1083852206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BONNIE SUE BETTS NP

Provider Business Mailing Address
First Line	:	1815 E LAKE MEAD BLVD STE 215
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7190
Country	:	US
Telephone Number	:	702-818-1919
Fax Number	:	702-399-5499

Provider Business Practice Location Address
First Line	:	1815 E LAKE MEAD BLVD STE 215
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7190
Country	:	US
Telephone Number	:	702-818-1919
Fax Number	:	702-399-5499

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

Provider Enumeration Date	:	01/26/2009
Last Update Date	:	12/12/2025

Similar Medicare Providers

1730013681 — EMMA THALGOTT CD-L, AEMT
Practice Location Address:

1815 E LAKE MEAD BLVD STE 215
NORTH LAS VEGAS, NV
89030-7190

Practice Phone: 702-818-1919
Practice Fax:

1386939395 — RUHEENA MADHURA NP
Practice Location Address:

1815 E LAKE MEAD BLVD STE 215
NORTH LAS VEGAS, NV
89030-7190

Practice Phone: 702-818-1919
Practice Fax: 702-399-5499

1245627629 — MS. YAO WANG M.D.
Practice Location Address:

1815 E LAKE MEAD BLVD STE 215
NORTH LAS VEGAS, NV
89030-7190

Practice Phone: 702-818-1919
Practice Fax: 702-399-5499

1003557273 — MRS. RAEGAN MCCORKLE FNP
Practice Location Address:

1815 E LAKE MEAD BLVD STE 215
NORTH LAS VEGAS, NV
89030-7190

Practice Phone: 702-818-1919
Practice Fax: 702-399-5499

1821099284 — MARTHA R. MUNDY AU.D.
Practice Location Address:

CAMPUS BOX 7190 WING D MEDICAL SCHOOL , UNIVERSITY OF NORTH CAROLINA
CHAPEL HILL, NC
27599-0001

Practice Phone: 919-966-9457
Practice Fax: 919-966-0100

1144254160 — DR. LARRY W LEDDY DDS MS
Practice Location Address:

5355 COLONY DRIVE NORTH
SAGINAW, MI
48638-7190

Practice Phone: 989-792-7056
Practice Fax: 989-792-5031

Directions to “ BONNIE SUE BETTS NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.