Individual
ELAINE K BETTIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3304 RENNER DR, FORTUNA, CA 95540-7102
(707) 725-4477
(707) 725-9209
Mailing address
670 9TH ST, SUITE 203, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FNP10968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP10968
STATE LICENSE
CA
01
—
RN402554
STATE LICENSE
CA
Enumeration date
07/29/2006
Last updated
08/22/2014
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