Provider Demographics
NPI:1437321247
Name:HARTH, BETSY ANN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:ANN
Last Name:HARTH
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 1:411 N DILLARD ST
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-2816
Mailing Address - Country:US
Mailing Address - Phone:407-296-1600
Mailing Address - Fax:407-296-1639
Practice Address - Street 1:411 N DILLARD ST
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-2816
Practice Address - Country:US
Practice Address - Phone:407-296-1600
Practice Address - Fax:407-296-1639
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3325172363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology