Individual
BETSY M VAN GENDEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2100 HIGHLAND WAY STE K, MITCHELL, SD 57301-6409
(605) 996-0440
(605) 996-0401
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000508
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134191869
—
IA
01
—
1780865626
ARAZ/AMERICA'S PPO
—
01
—
254961
MIDLANDS CHOICE
SD
01
—
4992440
BLUE CROSS
SD
01
—
57105N005
WPS TRICARE
SD
05
—
6829990
—
SD
01
—
75L18VA
CC SYSTEMS/BLUE PLUS
—
05
—
854618200
—
MN
01
—
9255156
DAKOTACARE
—
01
—
C70501053906
PREFERRED ONE
—
Enumeration date
11/20/2007
Last updated
04/22/2014
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