IndividualActive
Candice Betke, R.N.
NPI 1508306994 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Detroit, MI
Provider details
- NPI number
- 1508306994
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 4704201365 (MI)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 4704201365 (MI)
Nursing Service Providers
Practice location
79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 262-1172
Fax: (313) 831-4651
Approximate (ZIP-level) locationGet directions
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Registry dates
- Enumerated
- 2017-03-03
- Last updated
- 2017-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.