Individual
CAITLYN KRISTINE BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-5058
Mailing address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-5028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95053368
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002746
CA
Other
Enumeration date
08/12/2022
Last updated
11/05/2025
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