Provider Demographics
NPI:1962487751
Name:PAINTER, BETSY ELLEN (FNP)
Entity type:Individual
Prefix:MS
First Name:BETSY
Middle Name:ELLEN
Last Name:PAINTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4355 N CAMINO KINO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6657
Mailing Address - Country:US
Mailing Address - Phone:520-694-7000
Mailing Address - Fax:520-694-6712
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:SUITE 4615
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-694-7000
Practice Address - Fax:520-694-6712
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN107504363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily