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Nicole Betenia, MDMPH
Obstetrics & Gynecology Physician in San Rafael, California
NPI 1316309511

Nicole Betenia is a Obstetrics & Gynecology Physician based in San Rafael, CA. Nicole Betenia practices in San Rafael, CA and has the professional credentials of MDMPH. The NPI Number for Nicole Betenia is 1316309511 and holds a License No. 036152957 (California).

The current practice location address for Nicole Betenia is 3260 Kerner Blvd, San Rafael, CA and can be reached out via phone at 415-448-1500.

Location: 3260 Kerner Blvd, San Rafael, CA, 94901-4840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316309511
Provider Name
Nicole Betenia
Credential
MDMPH
Provider Entity Type
Individual
Gender
Female
Address
3260 Kerner Blvd, San Rafael, CA, 94901-4840
Phone Number
415-448-1500
Fax Number
Provider Enumeration Date
03/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3260 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
415-448-1500
Fax Number
person
Provider Business Mailing Address Details
Address
3260 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
415-448-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036152957 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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