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NPI Code Detail

MEDICARE: MRS. BETSY CARMIEN R.D.

MEDICARE: MRS. BETSY CARMIEN R.D.
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
1133V00000XRegistered Dietitian37002363AIN

General Provider Information

NPI Number : 1609206093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETSY CARMIEN R.D.
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8607 TEMPLE DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46809-3048
Country : US
Telephone Number : 260-478-9220
Fax Number : 260-478-9172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2013
Last Update Date : 12/20/2022

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