Individual
BETSY LUCILLE VAN HAAFTEN
Active
Individual
BETSY LUCILLE VAN HAAFTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
106508
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106508
PA LICENSE
IA
01
—
1774847
PA CERTIFICATION NUMBER
—
01
—
362EA3363
DRIVER'S LISENCE
IA
Enumeration date
01/27/2021
Last updated
01/11/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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