Provider Demographics
NPI:1801693213
Name:GACHE, BETTINA NEPOMUCENO (MSN, FNP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:BETTINA
Middle Name:NEPOMUCENO
Last Name:GACHE
Suffix:
Gender:
Credentials:MSN, FNP-C, FNP-BC
Other - Prefix:
Other - First Name:BETTINA
Other - Middle Name:MUNSAYAC
Other - Last Name:NEPOMUCENO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:95 ROTTECK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1438
Mailing Address - Country:US
Mailing Address - Phone:415-215-3841
Mailing Address - Fax:
Practice Address - Street 1:1200 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-3299
Practice Address - Country:US
Practice Address - Phone:650-742-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95028206363LF0000X
CA641629163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse