Individual
LINDSEY BETOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704328693
MI
363LF0000X
Family Nurse Practitioner
277000819
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030740
STATE NP LICENSE
TX
01
—
223306
STATE NP LICENSE
AZ
01
—
277000819
STATE LICENSE
IL
01
—
4704328693
STATE LICENSE
MI
01
—
71009353A
STATE LICENSE
IN
01
—
95032725
STATE NP LICENSE
CA
01
—
A153003
STATE NP LICENSE
IA
Enumeration date
06/08/2017
Last updated
11/25/2024
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