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ELAINE K BETTIGA FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1902810252
Individual Registrant: ELAINE K BETTIGA FNP
Gender: F
Not Sole Proprietor
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
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
Tel: 707-826-8633 Fax: 707-826-8638
Registration Information:
NPI: 1902810252
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | FNP10968 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENSE | FNP10968 | CA | 01 |
| STATE LICENSE | RN402554 | CA | 01 |
