Provider Demographics
NPI:1629781497
Name:TREYES, BETSABETH L
Entity Type:Individual
Prefix:
First Name:BETSABETH
Middle Name:L
Last Name:TREYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 KEARSNEY ABBEY CIR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:FL
Mailing Address - Zip Code:33527-6381
Mailing Address - Country:US
Mailing Address - Phone:813-760-3079
Mailing Address - Fax:
Practice Address - Street 1:3405 KEARSNEY ABBEY CIR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:FL
Practice Address - Zip Code:33527-6381
Practice Address - Country:US
Practice Address - Phone:813-760-3079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily