| 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: Medicare Enrolled 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 | |
Max David Farber, MS, CNM, WHNP-BC, RN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 |