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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 Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LATANJA S BETTIS · (Female)

NPI Number 1780810622
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/05/2009
Last updated 04/09/2025 - More than a year ago
Sole proprietor 1 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(s) Not Available
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.

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