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Individual

MICHAEL BETHEL

Active
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Individual

MICHAEL BETHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
509972
CA
163WC0400X
Case Management Registered Nurse
509972
CA
163WC1500X
Community Health Registered Nurse
64734
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
509972
CA
163WP2201X
Ambulatory Care Registered Nurse
509972
CA

Other

Enumeration date
12/11/2006
Last updated
11/14/2024
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