Individual
HEATHER ASHLEY BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3841 W CHARLESTON BLVD STE 203, LAS VEGAS, NV 89102-1858
(702) 848-4443
Mailing address
PO BOX 600, PFS BUSINESS OFFICE, TUBA CITY, AZ 86045-0600
(928) 283-2094
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
824533
NV
363LF0000X
Family Nurse Practitioner
Primary
824533
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093054843
—
NV
01
—
824533
NV STATE LICENSE
NV
Enumeration date
02/13/2013
Last updated
05/05/2021
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