Betancourt Rivera, Wanda Socorro

Betancourt Rivera, Wanda Socorro is an sole proprietor health care provider with primary practice located at 2015 W Western Ave Ste 132 , South Bend IN 46619-3561. She recently has 8 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Wound Care, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Betancourt Rivera, Wanda Socorro can be contacted via phone (574) 327-0140.

Contact Information

Primary practice address
2015 W Western Ave Ste 132 South Bend IN 46619-3561
Phone: (574) 327-0140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 28217649A Indiana
Nursing Service Providers / Infusion Therapy 163WI0500X 28217649A Indiana
Nursing Service Providers / Wound Care 163WW0000X 28217649A Indiana
Nursing Service Related Providers / Adult Companion 372600000X 28217649A Indiana
Nursing Service Related Providers / Home Health Aide 374U00000X 28217649A Indiana
Nursing Service Related Providers / Homemaker 376J00000X 28217649A Indiana
Nursing Service Related Providers / Nurse's Aide 376K00000X 28217649A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28217649A Indiana

Profile Details

NPI number 1740637370
LBN Legal business name Betancourt Rivera, Wanda Socorro
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2016
Last updated Jun 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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