National Provider Identifier Database

LATANJA S BETTIS, CRNP – NPI #1780810622
Family


Contact Information

LATANJA S BETTIS, CRNP
611 E LAUREL ST
ATMORE, AL36502-3014
Phone: 251-368-8001
Fax: 513-688-0812
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for LATANJA S BETTIS

NPI Number 1780810622
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/05/2009
Last updated 04/09/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • AL License #: 1-088729
  • AL Medicaid: 299404
  • AL Medicaid: 630000013
  • AL Other: 011846 MEDICARE GROUP NUMBER
  • AL Other: 1063439065 NPI SITE GROUP PAYEE NUMBER
  • AL Other: 1093994758 NPI SITE GROUP PAYEE NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LATANJA S BETTIS, CRNP

There are currently no reviews for LATANJA S BETTIS, CRNP


NPIdb - Home
v2.201