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
Phone: (228) 575-4374
Fax: (228) 575-4303
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386720241 | NPPES |
| Mississippi | MEDICAID | 05885307 |
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