Provider Demographics
NPI:1215821749
Name:LABETA, CHARLENE MAE SARMIENTO (NP)
Entity type:Individual
Prefix:
First Name:CHARLENE MAE
Middle Name:SARMIENTO
Last Name:LABETA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHARLENE MAE
Other - Middle Name:JULIANO
Other - Last Name:SARMIENTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 5063
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-0063
Mailing Address - Country:US
Mailing Address - Phone:612-806-7486
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 5063
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-0063
Practice Address - Country:US
Practice Address - Phone:612-806-7486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95243024163W00000X
CA95034793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse