Individual
BETSY BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
(864) 751-6020
Mailing address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
(864) 751-6020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN2045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN2045
LICENSE
SC
Enumeration date
12/13/2006
Last updated
07/08/2007
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