Provider Demographics
NPI:1710702733
Name:BETTINSON, COURTNEY KATHLEEN (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:KATHLEEN
Last Name:BETTINSON
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:KATHLEEN
Other - Last Name:STARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:136 CITATION LN
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930-5408
Mailing Address - Country:US
Mailing Address - Phone:307-679-7923
Mailing Address - Fax:
Practice Address - Street 1:190 ARROWHEAD DR
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82930-9266
Practice Address - Country:US
Practice Address - Phone:307-789-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY27233163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient