Individual
NICOLE PATRICIA BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
194 PLEASANT ST STE 2, CONCORD, NH 03301-2952
(603) 224-2353
(603) 226-0727
Mailing address
194 PLEASANT ST, STE 2, CONCORD, NH 03301-2952
(603) 224-2353
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A348
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14191
CIGNA
NH
05
—
30009420
—
NH
01
—
616251
HARVARD PILGRIM HP
NH
01
—
7309692Y0NH01
ANTHEM BCBS
NH
Enumeration date
10/26/2006
Last updated
10/24/2007
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