Individual
BETTY JANE TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(626) 744-6005
Mailing address
3450 BROADWAY, BOULDER, CO 80304
(626) 786-9560
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN626267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN626267
REGISTERED NURSE
CA
Enumeration date
05/31/2007
Last updated
07/09/2015
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