MEDICARE: CHRISTOPHER BETLEY 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-APN.0003017-C-NP	CO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61149987	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	12.010267	CT
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	66326	NM
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	67575	ID
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	403974	NY
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	843030	NV
8	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95019014	CA
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024182451	VA
10	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11012041	FL
11	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5013930	NC
12	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1032559	TX
13	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G162697	IA
14	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	202111691NP-PP	OR
15	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	255905	AZ

General Provider Information

NPI Number	:	1922695501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BETLEY NP

Provider Business Mailing Address
First Line	:	8406 SIX FORKS RD STE 104
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3075
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4412 PARK RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3130
Country	:	US
Telephone Number	:	980-581-3061
Fax Number	:

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

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	12/09/2025

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