| Doctor Name: | MRS. BETSY DALE POOT POOT |
| NPI Number: | 1013912385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP, RN |
| License Number: | AP30006966 |
| Business Practice Address: | 17091 Sockeye Dr Mount Vernon, WA - 982749156 |
| Business Phone Number: | 3604226564 |
| Business Fax Number: | 3604227242 |
| Mailing Address: | 17091 Sockeye Dr, MOUNT VERNON |
| State: | WA |
| Postal Code: | 982749156 |
| Phone Number: | 3604226564 |
| Fax Number: | 3604227242 |
| NPI Enumeration Date: | 06/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP30006966 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |