ABBY BETTILYON SORENSEN FNP NPI 1902289838

NPI Information

NPI: 1902289838
Provider Name: ABBY BETTILYON SORENSEN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WALLA WALLA CLINIC, INC.

PECOS Registration: Yes

Address:
1381 UNIVERSITY AVENUE
HEALDSBURG, CA
ZIP 95448
Phone: (707) 433-5494
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Abby Bettilyon Sorensen, FNP is a family nurse practitioner in Healdsburg, CA with 9 years of experience. Abby Bettilyon Sorensen, FNP NPI is 1902289838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1381 UNIVERSITY AVENUE
HEALDSBURG, CA
ZIP 95448-314
Phone: (707) 433-5494
Fax: (707) 431-1427

The NPI 1902289838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2015 and was last updated on 2/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	110000096	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95002772	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	AP60819910	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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