Individual provider · Type 1 NPI

Joey Nickolas Bettencourt Jr., DO

Student in an Organized Health Care Education/Training Program · Glendale, AZ

NPI number 1568216166 Active

Practice location

18701 N 67th Ave
Glendale, AZ 85308-7100

Call (623) 561-1000 Map

Mailing address

14002 N 49th Ave Unit 1118
Glendale, AZ 85306-4940

Other practice locations

  • 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 · (623) 882-1500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568216166

Joey Nickolas Bettencourt Jr., DO's National Provider Identifier is 1568216166, issued on Apr 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Apr 11, 2024.