Individual provider · NPI-1

Constance Isabella Betz, FNP-BC

Nurse Practitioner, Family · Mission Viejo, CA

NPI number1548910219
StatusActive
Last updated in NPPESMar 25, 2022

Details

NPI
1548910219
Entity type
Individual (NPI-1)
Name
Constance Isabella Betz
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2022
Certification date
Mar 25, 2022
Last updated
Mar 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95018017CAYes

Practice location

26401 Lombardy Rd
Mission Viejo, CA 92692-3268

Phone 949-412-9743

Mailing address

26401 Lombardy Rd
Mission Viejo, CA 92692-3268

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