Provider Demographics
NPI:1265834774
Name:DUNLAP, BETTY BANUELOS (ARNP)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:BANUELOS
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3581 S OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-6402
Mailing Address - Country:US
Mailing Address - Phone:561-707-6869
Mailing Address - Fax:
Practice Address - Street 1:3581 S OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-6402
Practice Address - Country:US
Practice Address - Phone:561-707-6869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9229158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily