Individual
BETTY L WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
421 E OSCEOLA AVE., SUITE 3, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Mailing address
421 E OSCEOLA AVE., SUITE 3, STUART, FL 34994-2505
(772) 286-0338
(772) 287-1139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP386202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079040-00
—
FL
01
—
430066582
RAILROAD MEDICARE
FL
01
—
G0237
BCBS OF FLORIDA
FL
Enumeration date
08/12/2006
Last updated
04/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us