Individual
BETTY J NELSON
Active
Individual
BETTY J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101768
MT
367500000X
Certified Registered Nurse Anesthetist
AP30001970
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275515660
NPI
MT
Enumeration date
09/07/2006
Last updated
02/17/2021
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