Betty Louise Bang, ANP

Individual provider Active NPI Nurse Practitioner · Anchorage, AK

NPI 1285640011 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285640011
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
ANP 311 (AK)
Practice address
3211 Providence Dr
Rasmuson Hall, Suite 116
Anchorage, AK 99508-4614
Phone
(907) 786-4040
Fax
(907) 786-4049
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ANP 311AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alaska - Anchorage Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ANP 311 AK Yes

Addresses

Primary practice location

3211 Providence Dr
Rasmuson Hall, Suite 116
Anchorage, AK 99508-4614

Mailing address

7611 Mentra St
Anchorage, AK 99518-2452
Phone (907) 786-4040

Other providers in Anchorage, AK

All providers in Anchorage, AK · Nurse Practitioner in Alaska

Sources for this page

Verify at the official NPI Registry.