Ms Bethany Nourse Golden, CNM | |
2211 Palm Ave, San Mateo, CA 94403-1814 | |
(650) 574-2628 | |
Not Available |
Full Name | Ms Bethany Nourse Golden |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2211 Palm Ave, San Mateo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104042712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 1724 (California) | Primary |
Entity Name | Lifelong Medical Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
Mailing Address | Practice Location Address |
---|---|
Ms Bethany Nourse Golden, CNM 1148 Church St, San Francisco, CA 94114-3433 Ph: (646) 734-3625 | Ms Bethany Nourse Golden, CNM 2211 Palm Ave, San Mateo, CA 94403-1814 Ph: (650) 574-2628 |
Grace Patricia Dible, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 951 Mariners Island Blvd Ste 300, San Mateo, CA 94404 Phone: 650-285-6927 Fax: 888-352-7383 | |
Courtney Elizabeth Benedict, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2211 Palm Ave, San Mateo, CA 94403 Phone: 650-574-5823 Fax: 650-574-3894 | |
Alicia Pollak, MS, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2211 Palm Ave, San Mateo, CA 94403 Phone: 650-574-2628 Fax: 650-574-3894 |