Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Poppenhagen

Individual provider Registered Nurse · NPI 1154031649

Bethany Poppenhagen is a Registered Nurse in Sausalito, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

144 Stanford Way
Sausalito, CA 94965-2824
Phone: (432) 294-1181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95058264 (CA)

Record details

NPI number1154031649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2022
Last updated in NPPESNovember 25, 2022
Certification dateNovember 25, 2022
Mailing address144 Stanford Way, Sausalito, CA 94965-2824

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