Individual
SHAVON BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
31 PARKVIEW AVE, LOWELL, MA 01852-2919
(978) 967-5077
Mailing address
31 PARKVIEW AVE, LOWELL, MA 01852-2919
(978) 967-5077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2300960
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2300960
MA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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