Provider Demographics
NPI:1134434293
Name:BETTS, WENDE J (RN)
Entity type:Individual
Prefix:
First Name:WENDE
Middle Name:J
Last Name:BETTS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8246 HUNT HOLLOW RD
Mailing Address - Street 2:P.O. BOX 35 8246 HUNT HOLLOW ROAD
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512-9536
Mailing Address - Country:US
Mailing Address - Phone:585-507-5225
Mailing Address - Fax:
Practice Address - Street 1:8246 HUNT HOLLOW RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:NY
Practice Address - Zip Code:14512-9536
Practice Address - Country:US
Practice Address - Phone:585-507-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY616032163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse