Provider Demographics
NPI:1548384381
Name:NG, BETTY K (NP MSN)
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:K
Last Name:NG
Suffix:
Gender:F
Credentials:NP MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 MASON ST
Mailing Address - Street 2:CHINATOWN PUBLIC HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4222
Mailing Address - Country:US
Mailing Address - Phone:415-364-7600
Mailing Address - Fax:415-291-8794
Practice Address - Street 1:1490 MASON ST
Practice Address - Street 2:CHINATOWN PUBLIC HEALTH CENTER
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:415-291-8794
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN469927163WP2201X
CANPF14563363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
103473OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
Q18138Medicare UPIN