Individual
MS. BETTY LYNN LE BRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
3810 PLAZA WAY, KENNEWICK, WA 99338-2722
(509) 221-7000
(509) 221-5897
Mailing address
284 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-9080
(530) 846-4015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17448
FNP CA
CA
01
—
30007800
WA AP #
WA
01
—
F0807308
NATIONAL ID NUMBER
—
Enumeration date
07/20/2007
Last updated
01/07/2021
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