Gina Wan, MSN-ED, RN-BC

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN 090641 Issued in AZ

Practice address

5455 S Cardinal Ave
Tucson, AZ 85746-2168

Phone

(520) 908-5417

Fax

(520) 908-5403

NPI assigned

Oct 28, 2015

Last updated

Oct 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Gina Adrienne Betancourt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1760854806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 S CARDINAL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857462168",
            "telephone_number": "520-908-5417",
            "fax_number": "520-908-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 S CARDINAL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857462168",
            "telephone_number": "520-908-5417",
            "fax_number": "520-908-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "GINA",
        "credential": "MSN-ED, RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN 090641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BETANCOURT",
            "middle_name": "ADRIENNE",
            "credential": "MSN-ED, RN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kailey Walton
• Nathan Thomas Walton, MD
• Olivier A Wamain, PHARMD, PHC
• Mary Wambaire
• Gale Ann Wamego
• Peter Wanes, MD
• Alex Wang
• Christine Alice Wang, DO
• Jon B Wang, M.D.
• Kevin John Wang, MD

• School Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.