Crystal Bettencourt, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Middletown, RI

NPI 1730516097 · NPPES record last updated Oct 2, 2013

Key facts

NPI
1730516097
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
RN51215 (RI)
Practice address
127 Johnny Cake Hill Rd
Middletown, RI 02842-5674
Phone
(401) 846-1213
Fax
(401) 848-9151
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN51215RIMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN51215 RI Yes

Addresses

Primary practice location

127 Johnny Cake Hill Rd
Middletown, RI 02842-5674

Mailing address

4 Beacon CT
Newport, RI 02840-1237
Phone (401) 662-6969

Other providers in Middletown, RI

All providers in Middletown, RI · Psychiatric/Mental Health Registered Nurse in Rhode Island

Sources for this page

Verify at the official NPI Registry.