BETTE ANN EVENSON NPI 1073251104

NPI Information

  • NPI: 1073251104
  • Provider Name: BETTE ANN EVENSON
  • Classification: Technician - 3747A0650X
  • Specialization: Attendant Care Provider
  • Entity Type: Individual
  • Address: 5790 CASA GRANDE WAY
    BONITA, CA
    ZIP 91902
  • Phone: (442) 999-0077

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NPI Details

Bette Ann Evenson is an attendant care provider technician in Bonita, CA. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Bette Ann Evenson NPI is 1073251104. 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:

5790 CASA GRANDE WAY
BONITA, CA
ZIP 91902-109
Phone: (442) 999-0077

The enumeration date for this NPI number is 5/27/2022 and was last updated on 5/27/2022.

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
13747A0650XTechnicianAttendant Care ProviderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N2435821OTHERCALIFORNIADRIVER LICENSE

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: 3/30/2025

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