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Individual

BREANNA BETTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
251B00000X
Case Management Agency
Primary
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
347E00000X
Transportation Broker
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374K00000X
Religious Nonmedical Practitioner
376J00000X
Homemaker

Other

Enumeration date
12/11/2025
Last updated
12/11/2025
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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