Dalla Betta, Phyllis Ruth

Dalla Betta, Phyllis Ruth is an individual health care provider with primary practice located at 4805 Prime Pkwy , Mchenry IL 60050-7002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dalla Betta, Phyllis Ruth can be contacted via phone (815) 759-5448.

Contact Information

Primary practice address
4805 Prime Pkwy Mchenry IL 60050-7002
Phone: (815) 759-5448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 47408 Colorado

Profile Details

NPI number 1548267479
LBN Legal business name Dalla Betta, Phyllis Ruth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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