| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BETTINA PASS | 1720725955 | 2023-02-11 |
Bettina Pass is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720725955. Registration indicates Bettina Pass is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Bettina Pass |
| Practice Office Address | 1918 BLACK ROCK TPKE FAIRFIELD, CT US |
| Practice Office Telephone | 2035838400 |
| Mailing Address | 166 OLD BROOKFIELD RD UNIT 10-1 DANBURY, CT 068114033 US |
| Business Telephone | 2038560232 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 10274
CT |