Provider Demographics
NPI:1669641031
Name:EFFINGER, BETSY J (CRNA)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:J
Last Name:EFFINGER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 BIG COVE RD SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2119
Mailing Address - Country:US
Mailing Address - Phone:256-990-4303
Mailing Address - Fax:
Practice Address - Street 1:709 WARD AVE NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3659
Practice Address - Country:US
Practice Address - Phone:256-539-9471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-092182367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1669641031Medicaid
AL515-47285OtherBC BS OF ALABAMA
AL1669641031Medicaid