Mrs. Miriam S Bettencourt
Dermatologist
861 Coronado Center Dr Ste 100
Henderson
, Nevada 89052-3992
Mrs. Miriam S Bettencourt
Dermatologist
861 Coronado Center Dr Ste 100
Henderson
, Nevada 89052-3992
(407) 650-3455
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Mrs. Miriam S Bettencourt
- 151 Southhall Ln Ste 300
- Maitland, FL
- Zip : 32751-7172
- Fax : (407) 650-3455
- Phone : (407) 216-2691
Second Address
- Mrs. Miriam S Bettencourt
- 861 Coronado Center Dr Ste 100
- Henderson, NV
- Zip : 89052-3992
- Fax : (702) 870-4824
- Phone : (702) 257-7546
Reviews
FAQs
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Is Mrs. Miriam S Bettencourt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 10084 | NV |
National Provider Identifier
| NPI | 1013934967 |
|---|---|
| Provider Name | Mrs. Miriam S Bettencourt |
| First Address | Maitland, FL 32751-7172 |
| Second Address | Henderson, NV 89052-3992 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2006 |
| Last Update Date | 15/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002018117 | (05) | NV |
| G90970 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.