Provider Demographics
NPI:1174721542
Name:FRANZATTI, BETTY M
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:M
Last Name:FRANZATTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1179
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:ID
Mailing Address - Zip Code:83869-1179
Mailing Address - Country:US
Mailing Address - Phone:208-659-8543
Mailing Address - Fax:208-623-2232
Practice Address - Street 1:33668 NEWMAN DR
Practice Address - Street 2:NOT MAILING ADDRESS PHYSICAL ADDRESS ONLY
Practice Address - City:SPIRIT LAKE
Practice Address - State:ID
Practice Address - Zip Code:83869-1179
Practice Address - Country:US
Practice Address - Phone:208-659-8543
Practice Address - Fax:208-623-2232
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator