Individual provider · Type 1 NPI

Carrie Louise Roth Bettlach, FNP

Nurse Practitioner · St. Louis, MO

NPI number 1609201557 Active

Practice location

4921 Parkview Pl, Div Surg Plastics, Ste 6G
St. Louis, MO 63110-1032

Call (314) 362-7388 Map

Fax (833) 301-0853

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2013033109 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609201557

Carrie Louise Roth Bettlach, FNP's National Provider Identifier is 1609201557, issued on Sep 11, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.