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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. WANDA SOCORRO BETANCOURT RIVERA, RN

Active Sole Proprietor

Registered Nurse · SOUTH BEND, IN

Registration Details

NPI Number
1740637370
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2016 (9.9098247303229 yrs)
Last Updated
Jun 15, 2017
Licenses
28217649A (IN)
28217649A (IN)
28217649A (IN)
28217649A (IN)
28217649A (IN)
Sole Proprietor
Yes

Practice Information

Address
2015 W WESTERN AVE STE 132
SOUTH BEND, IN, 466193561
Browse IN providers · Browse ZIP 46619
Phone
5743270140
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Infusion Therapy Nurse
Additional Specialty
Wound Care Nurse
Additional Specialty
Adult Companion
Additional Specialty
Home Health Aide

Other Registered Nurse Providers in SOUTH BEND, IN

Name Credential NPI
SUSAN D MYERS LCSW 1861530792
MARIA MACRI 1033430947
APRIL EHARDT 1114335007
MRS. CONNIE MARIE BRYAN RN 1093123630
CHRISTY TOLCH RN 1821470303
MRS. MARGARET MARY SWEENEY 1689100240
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.