Provider Demographics
NPI:1043596604
Name:DILLON, BETTY GAY (APRN, NNP-BC)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:GAY
Last Name:DILLON
Suffix:
Gender:F
Credentials:APRN, NNP-BC
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:GAY
Other - Last Name:MEASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1340 HAL GREER BOULEVARD
Mailing Address - Street 2:ATTN: TAMMIE SILVA
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3800
Mailing Address - Country:US
Mailing Address - Phone:304-526-2370
Mailing Address - Fax:304-526-6303
Practice Address - Street 1:1340 HAL GREER BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3800
Practice Address - Country:US
Practice Address - Phone:304-526-2370
Practice Address - Fax:304-526-6303
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN31625-NNP-BC363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal