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Individual

BETHANNE BATTISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1503
(954) 735-6000
Mailing address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1503
(954) 735-6000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643638
NY
163W00000X
Registered Nurse
Primary
RN9330137
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
643638
STATE BOARD OF HEALTH
NY
01
RN9330137
STATE BOARD OF HEALTH
FL
Enumeration date
03/24/2014
Last updated
03/24/2014
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