Shavon Bettencourt, FNP-BC
Nurse Practitioner, Family in Lowell, Massachusetts
1710682422- Practice location
- 31 Parkview Ave, Lowell, MA 01852-2919
- Phone
- 978-967-5077
- Fax
- —
- Last updated
- April 3, 2023
Shavon Bettencourt is a Nurse Practitioner, Family based in Lowell, MA. Shavon Bettencourt practices in Lowell, MA and has the professional credentials of FNP-BC. The NPI Number for Shavon Bettencourt is 1710682422 and holds a License No. RN2300960 (MA). The current practice location address for Shavon Bettencourt is 31 Parkview Ave, Lowell, MA 01852-2919 and can be reached out via phone at 978-967-5077.
Provider Profile Details
- NPI Number
- 1710682422
- Provider Name
- Shavon Bettencourt
- Credential
- FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 Parkview Ave, Lowell, MA 01852-2919
- Phone Number
- 978-967-5077
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Other Names
- Shavon Sullivan (Former Name)
- Provider Enumeration Date
- April 3, 2023
- Last Update Date
- April 3, 2023
- Certification Date
- April 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Parkview Ave
Lowell, MA 01852-2919 - City
- Lowell
- State
- Massachusetts
- Zip
- 01852-2919
- Phone Number
- 978-967-5077
Provider Business Mailing Address Details
- Address
- 31 Parkview Ave
Lowell, MA 01852-2919 - City
- Lowell
- State
- MA
- Zip
- 01852-2919
- Phone Number
- 978-967-5077
License Information
- License Number (1)
- RN2300960
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- RN2300960
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shavon Bettencourt, FNP-BC?
The NPI number of Shavon Bettencourt, FNP-BC is 1710682422. It was assigned on April 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Shavon Bettencourt, FNP-BC?
Shavon Bettencourt, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2300960.
Where does Shavon Bettencourt, FNP-BC practice?
The practice location is 31 Parkview Ave, Lowell, MA 01852-2919. The office can be reached at 978-967-5077 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710682422 directly on the NPPES registry website.