Individual
DATANYA Y BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LIVE WELL PRIMARY CARE, 4064 BARRETT DR UNIT 9A, RALEIGH, NC 27609
(919) 803-4188
(919) 803-4117
Mailing address
LIVE WELL PRIMARY CARE, 4064 BARRETT DR UNIT 9A, RALEIGH, NC 27609-8095
(919) 803-4188
(919) 803-4117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006305
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5006305
NC
Other
Enumeration date
08/01/2013
Last updated
07/10/2025
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