Individual
BETSY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
526 W STATE ST, ROCKFORD, IL 61101-1214
(815) 968-9300
(815) 720-4950
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
(815) 391-5041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-390741
IL
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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