Betts, Nicole

Betts, Nicole is an individual health care provider with primary practice located at 1310 Fortino Blvd Ste D , Pueblo CO 81008. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Betts, Nicole can be contacted via phone (719) 582-1898.

Contact Information

Primary practice address
1310 Fortino Blvd Ste D Pueblo CO 81008
Phone: (719) 582-1898
Fax: (719) 621-4098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN.0992247-NP Colorado
Nursing Service Providers / General Practice 163WG0000X RN.0205125 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN.0992247-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN.0992247-NP Colorado

Profile Details

NPI number 1417327461
LBN Legal business name Betts, Nicole
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2015
Last updated Nov 30th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417327461 NPPES
Colorado MEDICAID 69120251

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