Provider Demographics
NPI:1033713292
Name:BETSEY, AKERIA CHEREZ (LPN)
Entity Type:Individual
Prefix:MISS
First Name:AKERIA
Middle Name:CHEREZ
Last Name:BETSEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-6003
Mailing Address - Country:US
Mailing Address - Phone:850-728-2677
Mailing Address - Fax:
Practice Address - Street 1:3034 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-6003
Practice Address - Country:US
Practice Address - Phone:850-728-2677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5228090164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL238OtherAGENCY FOR HEALTH CARE ADMINISTRATION