Provider Demographics
NPI:1093539959
Name:ALANYA, BETSSY R (NP)
Entity type:Individual
Prefix:
First Name:BETSSY
Middle Name:R
Last Name:ALANYA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18612 LEMAY ST
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-5212
Mailing Address - Country:US
Mailing Address - Phone:818-326-3830
Mailing Address - Fax:
Practice Address - Street 1:18251 ROSCOE BLVD # 201
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4200
Practice Address - Country:US
Practice Address - Phone:818-772-7023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032643163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice