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MRS. LAURA JANE BETHKE FNP-C
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1508232331
Individual Registrant:MRS. LAURA JANE BETHKE FNP-C
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5125 SKYWAY PARADISE, CA 95969-5624 US
Tel: 530-872-2000 Fax: --
Tel: 530-872-2000 Fax: --
Contact information for business:
5125 SKYWAY PARADISE, CA 95969-5624 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1508232331
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 | 95002577 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
