Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETSY CUSTARD
Active Sole ProprietorLodging Provider · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1164666236
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2009 (17.002587324547 yrs)
- Last Updated
- Apr 21, 2009
- License
-
12586 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3484 N CONSTANCE DR.PRESCOTT VALLEY, AZ, 86314Browse AZ providers · Browse ZIP 86314
- Phone
- 9284431991
- Primary Specialty
-
Lodging Provider
177F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.