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Individual
SUSAN K BETTENHAUSEN
Active
Individual
SUSAN K BETTENHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CDE, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
209004249
IL
363L00000X
Nurse Practitioner
209004249
IL
364S00000X
Clinical Nurse Specialist
209004249
IL
Other
Enumeration date
03/24/2010
Last updated
05/09/2019
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