Individual
ERICA MONIQUE BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4415 CARROLL ST, NORTHPORT, AL 35475-5905
(251) 335-4460
Mailing address
4415 CARROLL ST, NORTHPORT, AL 35475-5905
(251) 335-4460
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1126054
AL
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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