Individual
MRS. BRANDI L. BETTERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4021
SC
367500000X
Certified Registered Nurse Anesthetist
A810577
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06274072
—
MS
Enumeration date
02/26/2008
Last updated
04/30/2024
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