Amy Michelle Betz
Nurse Practitioner in Maywood, IL. Individual provider (NPI-1).
NPI number1376701938
StatusActive
Last updated in NPPESMay 29, 2008
Details
- NPI
- 1376701938
- Entity type
- Individual (NPI-1)
- Name
- Amy Michelle Betz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2008
- Last updated
- May 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.005151 | IL | Yes |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-2653
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-2653
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