Provider Demographics
NPI:1023096591
Name:NEMETH, BETTY LYNN (CRNA)
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:LYNN
Last Name:NEMETH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:BETTY
Other - Middle Name:LYNN
Other - Last Name:HALANBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1737 GRANADA DR
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145
Mailing Address - Country:US
Mailing Address - Phone:239-394-2896
Mailing Address - Fax:
Practice Address - Street 1:150 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34101
Practice Address - Country:US
Practice Address - Phone:239-262-8306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3331752367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG2552Medicare ID - Type Unspecified