Provider Demographics
NPI:1083705719
Name:KING, BETTY C (MSN-FNP)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:C
Last Name:KING
Suffix:
Gender:F
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-3407
Mailing Address - Country:US
Mailing Address - Phone:415-933-6551
Mailing Address - Fax:415-933-6441
Practice Address - Street 1:1490 MASON ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4222
Practice Address - Country:US
Practice Address - Phone:415-364-7600
Practice Address - Fax:415-986-1130
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily