Provider Demographics
NPI:1043643208
Name:ALBRECHT, BETSY ANNE (RN CNOR RNFA)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:ANNE
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:RN CNOR RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 TONIA CT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5346
Mailing Address - Country:US
Mailing Address - Phone:951-780-5061
Mailing Address - Fax:951-686-8289
Practice Address - Street 1:3865 JACKSON ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3919
Practice Address - Country:US
Practice Address - Phone:951-352-5407
Practice Address - Fax:951-352-5318
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA424259163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant