Provider Demographics
NPI:1750861142
Name:BETTERS, KIFFANY (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KIFFANY
Middle Name:
Last Name:BETTERS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6418 MAY DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-5648
Mailing Address - Country:US
Mailing Address - Phone:254-495-4031
Mailing Address - Fax:
Practice Address - Street 1:6418 MAY DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-5648
Practice Address - Country:US
Practice Address - Phone:254-495-4031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX1071069363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No251E00000XAgenciesHome Health