NPI Profile for KARISSA T BETTEN in LAWRENCEVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neonatal Intensive Care |
163WN0002X |
| NPI # | 1346965563 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/10/2022 | |
| Last updated | 11/20/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KARISSA T BETTEN
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