Provider Demographics
NPI:1073515029
Name:ARMBRECHT, BETTY J (NP)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:J
Last Name:ARMBRECHT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 E KITTY HAWK ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-9709
Mailing Address - Country:US
Mailing Address - Phone:508-989-2295
Mailing Address - Fax:
Practice Address - Street 1:28 E KITTY HAWK ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-9709
Practice Address - Country:US
Practice Address - Phone:508-989-2295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX560571363LF0000X
RINPP37229363LF0000X
MA243343NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0702579Medicaid
MANP4248Medicare PIN
MAP96105Medicare UPIN