Provider Demographics
NPI:1902128176
Name:BETTS, AVIANCE DENISE (APRN)
Entity Type:Individual
Prefix:MS
First Name:AVIANCE
Middle Name:DENISE
Last Name:BETTS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 467 BOX 598
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09096-0006
Mailing Address - Country:US
Mailing Address - Phone:314-590-1441
Mailing Address - Fax:
Practice Address - Street 1:FLUGPLATZ ERBENHEIM 1040
Practice Address - Street 2:
Practice Address - City:WIESBADEN
Practice Address - State:WIESBADEN
Practice Address - Zip Code:65205
Practice Address - Country:DE
Practice Address - Phone:314-590-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX689685163W00000X
DEL8-0010578163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse