Individual
BETTY CHARLENE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
(541) 851-8114
Mailing address
3785 N MELODY ST, KINGMAN, AZ 86409-3343
(208) 255-8908
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN000099599
AZ
363LF0000X
Family Nurse Practitioner
Primary
281661
AZ
Other
Enumeration date
09/29/2022
Last updated
01/09/2025
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