HEATHER ASHLEY BETTENCOURT RN NPI 1093054843

NPI Information

NPI: 1093054843
Provider Name: HEATHER ASHLEY BETTENCOURT, RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DISPATCHHEALTH NV WAGNER PC

PECOS Registration: Yes

Address:
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV
ZIP 89102
Phone: (702) 848-4443
Get Directions

Heather Ashley Bettencourt, RN is a family nurse practitioner in Las Vegas, NV with 5 years of experience. Heather Ashley Bettencourt, RN NPI is 1093054843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV
ZIP 89102-858
Phone: (702) 848-4443

The NPI 1093054843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		824533	NEVADA	No
2	363LF0000X	Nurse Practitioner	Family	824533	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	824533	OTHER	NEVADA	NV STATE LICENSE
2	1093054843	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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