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ELAINE K BETTIGA FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1902810252

Individual Registrant:
 ELAINE K BETTIGA FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3304 RENNER DR  FORTUNA, CA 95540-7102 US
Tel: 707-725-4477  Fax: 707-725-9209

Contact information for business:
670 9TH ST SUITE 203 ARCATA, CA 95521-6248 US
Tel: 707-826-8633  Fax: 707-826-8638

Registration Information:
NPI: 1902810252
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CAFNP10968

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSEFNP10968CA01
STATE LICENSERN402554CA01




HEALTH CARE JOBS CA - Page 1



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