Betenia, Nicole

Betenia, Nicole is an individual health care provider with primary practice located at 3260 Kerner Blvd , San Rafael CA 94901-4840. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Betenia, Nicole can be contacted via phone (415) 448-1500.

Contact Information

Primary practice address
3260 Kerner Blvd San Rafael CA 94901-4840
Phone: (415) 448-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036152957 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A179467 California

Profile Details

NPI number 1316309511
LBN Legal business name Betenia, Nicole
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Jul 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers