Individual
BETTINA VIETEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 LINDA AVE, HAWTHORNE, NY 10532-1313
(914) 773-6730
Mailing address
500 LINDA AVE, HAWTHORNE, NY 10532
(914) 773-6730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
716731
NY
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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