Bette Axiak
Individual provider Active NPI Community Health Registered Nurse · Sonora, CA
NPI 1790014801 · NPPES record last updated Dec 18, 2009
Key facts
- NPI
- 1790014801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 262840 (CA)
- Practice address
- 20111 Cedar Rd N
Sonora, CA 95370-5939 - Phone
- (209) 533-7422
- NPI assigned
- Dec 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262840 | CA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 262840 | CA | Yes |
Addresses
Primary practice location
20111 Cedar Rd N
Sonora, CA 95370-5939
Mailing address
20111 Cedar Rd N
Sonora, CA 95370-5939
Other providers in Sonora, CA
- Kennedi Ashton
- Donald Craig Auwinger
- Avalon Care Center-Sonora LLC
- Margaret Avila
- Nancy Jeanne Avila
- Dion Aye
- Karen Michelle Bachtelle
- Kaylee Michelle Badgley
- Ashwini Bagwe
- Jannell Bagwell
All providers in Sonora, CA · Community Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.