Individual
BETH LUCILE SCOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
751 S BASCOM AVE, UROLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-6992
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN441510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN441510
—
CA
Enumeration date
09/14/2006
Last updated
09/12/2007
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