Individual
NICHOLAS JACOB BETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 668-3545
Mailing address
21 DARBY LN, BEDFORD, NH 03110-4517
(423) 903-0826
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
181927
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
128755
NH
Other
Enumeration date
10/11/2019
Last updated
12/23/2019
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