Individual
BETTINA MARIE SIEBENECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5810 W BEVERLY LN, GLENDALE, AZ 85306
(623) 312-3000
(623) 312-3060
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(623) 312-3000
(623) 312-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11384
AZ
Other
Enumeration date
06/25/2012
Last updated
11/15/2022
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