Provider Demographics
NPI:1528249349
Name:KRENKE, BETTY B (R N)
Entity type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:B
Last Name:KRENKE
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SHEFFIELD LN
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2635
Mailing Address - Country:US
Mailing Address - Phone:724-942-3951
Mailing Address - Fax:
Practice Address - Street 1:907 WEST ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2838
Practice Address - Country:US
Practice Address - Phone:412-247-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN580264163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse