Provider Demographics
NPI:1598910663
Name:BETTS, FELICIA
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:
Last Name:BETTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:
Other - Last Name:BETTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:5998 WALDWAY LANE
Mailing Address - Street 2:WALDWAY LANE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224
Mailing Address - Country:US
Mailing Address - Phone:513-373-0762
Mailing Address - Fax:513-681-6532
Practice Address - Street 1:5998 WALDWAY LANE
Practice Address - Street 2:5998 WALDWAY LANE
Practice Address - City:CINTI
Practice Address - State:OH
Practice Address - Zip Code:45224
Practice Address - Country:US
Practice Address - Phone:513-373-0762
Practice Address - Fax:513-681-6532
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH123338164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse