Provider Demographics
NPI:1912974718
Name:BETTS, MARGARET VEAZIE (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:VEAZIE
Last Name:BETTS
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:1650 COCHRANE CIR
Mailing Address - Street 2:
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4613
Mailing Address - Country:US
Mailing Address - Phone:719-526-7022
Mailing Address - Fax:719-526-7263
Practice Address - Street 1:3920 N UNION BLVD
Practice Address - Street 2:STE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4900
Practice Address - Country:US
Practice Address - Phone:719-526-7022
Practice Address - Fax:719-526-7263
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO113697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P30170Medicare UPIN
CO801422Medicare ID - Type Unspecified