Michael Bethel, RN
Registered Nurse, Administrator in Fresno, CA. Individual provider (NPI-1).
NPI number1487714366
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1487714366
- Entity type
- Individual (NPI-1)
- Name
- Michael Bethel
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2006
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | 509972 | CA | Yes |
| 163WC0400X | Registered Nurse, Case Management | 509972 | CA | |
| 163WC1500X | Registered Nurse, Community Health | 64734 | CA | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 509972 | CA | |
| 163WP2201X | Registered Nurse, Ambulatory Care | 509972 | CA |
Other names
- Mike Bethel (Other Name)
Practice location
2615 E Clinton AveFresno, CA 93703-2223
Phone 559-225-6100
Mailing address
2615 E Clinton AveFresno, CA 93703-2223
Phone 559-225-6100
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