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:
Health care specialties
| Specialty | Code | License # | 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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