Provider Demographics
NPI:1497032130
Name:BETCO, MARIA VERONICA (MSN)
Entity Type:Individual
Prefix:MS
First Name:MARIA VERONICA
Middle Name:
Last Name:BETCO
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 MONROE CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4883
Mailing Address - Country:US
Mailing Address - Phone:909-481-9515
Mailing Address - Fax:909-481-9520
Practice Address - Street 1:8710 MONROE CT
Practice Address - Street 2:SUITE 200
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4883
Practice Address - Country:US
Practice Address - Phone:909-481-9515
Practice Address - Fax:909-481-9520
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17753363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics