Provider Demographics
NPI:1477981884
Name:MARTINDALE-WITCHER, BELINDA (PA-C)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:MARTINDALE-WITCHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:KAY
Other - Last Name:MARTINDALE-WITCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:13401 PHOENIX PALM CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-6663
Mailing Address - Country:US
Mailing Address - Phone:661-395-3000
Mailing Address - Fax:
Practice Address - Street 1:2615 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2014
Practice Address - Country:US
Practice Address - Phone:661-395-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51218363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant