Individual
MS. CRYSTAL BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI 02842-5674
(401) 846-1213
(401) 848-9151
Mailing address
4 BEACON CT, NEWPORT, RI 02840-1237
(401) 662-6969
(401) 324-6251
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN51215
RI
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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