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NPI Code Detail

MEDICARE: ANN BETTENCOURT

MEDICARE: ANN BETTENCOURT
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
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1366813636
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN BETTENCOURT
Provider Business Mailing Address
First Line : 1538 LOUISIANA AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3553
Country : US
Telephone Number : 504-896-2345
Fax Number : 504-896-2240
Provider Business Practice Location Address
First Line : 1538 LOUISIANA AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3553
Country : US
Telephone Number : 504-896-2345
Fax Number : 504-896-2240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2015
Last Update Date : 04/20/2018

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Directions to “ ANN BETTENCOURT ” Practice Location

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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.

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