MEDICARE: BETTY ESHETU R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95041804	CA

General Provider Information

NPI Number	:	1154134187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY ESHETU R.N.

Provider Business Mailing Address
First Line	:	3828 DELMAS TERRACE
Second Line	:	P6-BHU
City	:	CULVER CITY
State	:	CA
Zip	:	90232-9023
Country	:	US
Telephone Number	:	310-836-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3828 DELMAS TERRACE
Second Line	:	P6-BHU
City	:	CULVER CITY
State	:	CA
Zip	:	90232-9023
Country	:	US
Telephone Number	:	310-836-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	01/31/2025

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