person
Betsy Lucille Van Haaften, PA-C
Medical Physician Assistant in Johnston, Iowa
NPI 1023609690

Betsy Lucille Van Haaften is a Medical Physician Assistant based in Des Moines, IA and is specialized in Medical. Betsy Lucille Van Haaften practices in Johnston, IA and has the professional credentials of PA-C. The NPI Number for Betsy Lucille Van Haaften is 1023609690 and holds a License No. 106508 (Iowa).

The current practice location address for Betsy Lucille Van Haaften is 5705 Nw 100Th St Ste 100, Johnston, IA and can be reached out via phone at 515-726-3376 and via fax at 515-446-9707.

Location: 5705 Nw 100Th St Ste 100, Johnston, IA, 50324-1664
person
Provider Profile Details
NPI Number
1023609690
Provider Name
Betsy Lucille Van Haaften
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5705 Nw 100Th St Ste 100, Johnston, IA, 50324-1664
Phone Number
515-726-3376
Fax Number
515-446-9707
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
362EA3363 01 IA DRIVER'S LISENCE
1774847 01 PA CERTIFICATION NUMBER
106508 01 IA PA LICENSE
institution
Provider Business Practice Location Address Details
Address
5705 Nw 100Th St Ste 100
City
State
Zip
50131-1813
Phone Number
515-726-3376
Fax Number
515-446-9707
person
Provider Business Mailing Address Details
Address
5705 Nw 100Th St Ste 100
City
State
Zip
50131-1813
Phone Number
515-726-3376
Fax Number
515-446-9707
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
106508 (Iowa)
Definition
Definition to come...
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