Provider Demographics
NPI:1013397264
Name:WARREN, BETSY HERNANDEZ (RN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:HERNANDEZ
Last Name:WARREN
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:513 LANDWYCK LN
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7148
Mailing Address - Country:US
Mailing Address - Phone:855-961-1942
Mailing Address - Fax:
Practice Address - Street 1:75 VARICK ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1917
Practice Address - Country:US
Practice Address - Phone:855-961-1942
Practice Address - Fax:866-702-0957
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011080363LF0000X
KS53-77351-101363LF0000X
NMCNP-02945363LF0000X
MO2017007331363LF0000X
LAAP09047363LF0000X
OHAPRN.CNP.019994363LF0000X
CA14407363LF0000X
COC-APN0000671363LF0000X
VA24174459363LF0000X
NC5009375363LF0000X
IL209015460363LF0000X
ID57406363LF0000X
FLAPRN1652002363LF0000X
CTAPRN6949363LF0000X
TXAP128218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily