Provider Demographics
NPI:1841528296
Name:FALKNOR, BETTY ELAINE
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:ELAINE
Last Name:FALKNOR
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 1:3 DELONG AVE
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-1734
Mailing Address - Country:US
Mailing Address - Phone:712-323-4330
Mailing Address - Fax:
Practice Address - Street 1:3 DELONG AVE
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-1734
Practice Address - Country:US
Practice Address - Phone:712-323-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula