Individual
MRS. LATANJA SHANTA BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
611 E LAUREL ST, ATMORE, AL 36502-3014
(251) 368-8001
(513) 688-0812
Mailing address
611 E LAUREL ST, ATMORE, AL 36502-3014
(251) 368-8001
(251) 368-8081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-088729
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP NUMBER
AL
01
—
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
01
—
1093994758
NPI SITE GROUP PAYEE NUMBER
AL
05
—
299404
—
AL
05
—
630000013
—
AL
Enumeration date
06/05/2009
Last updated
04/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us