Individual
BEVERLY BETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
732S MAIN ST, TOLEDO, OH 43605-2338
(419) 691-0601
Mailing address
1117 CLARK ST, HOLLAND, OH 43528-8766
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN257208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-2136593
—
OH
Enumeration date
03/28/2018
Last updated
03/28/2018
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