Individual
BETSY L NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2701 SUNSET RIDGE DR STE 200, ROCKWALL, TX 75032-0007
(972) 772-5450
Mailing address
2701 SUNSET RIDGE DR STE 200, ROCKWALL, TX 75032-0007
(972) 772-5450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP115076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205946101
—
TX
05
—
205946102
—
TX
05
—
205946103
—
TX
01
—
TX596539
TX LICENSE
TX
Enumeration date
03/19/2007
Last updated
08/22/2023
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