Edrington, Betty Diane

Edrington, Betty Diane is an individual health care provider with primary practice located at 2 Tower Plaza Pineville Road, Long Beach MS 39560. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Edrington, Betty Diane can be contacted via phone (228) 575-4374.

Contact Information

Primary practice address
2 Tower Plaza Pineville Road Long Beach MS 39560
Fax: (228) 575-4303
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R138400 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R138400 Mississippi

Profile Details

NPI number 1386720241
LBN Legal business name Edrington, Betty Diane
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jun 14th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386720241 NPPES
Mississippi MEDICAID 05885307

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