Provider Demographics
NPI:1902459886
Name:BELLUOMINI, LAURA (RN MSN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:BELLUOMINI
Suffix:
Gender:F
Credentials:RN MSN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:GIROLAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 JAMAICA ST
Mailing Address - Street 2:
Mailing Address - City:TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-1008
Mailing Address - Country:US
Mailing Address - Phone:415-517-5844
Mailing Address - Fax:415-520-1100
Practice Address - Street 1:1610 TIBURON BLVD STE 210
Practice Address - Street 2:
Practice Address - City:TIBURON
Practice Address - State:CA
Practice Address - Zip Code:94920-2549
Practice Address - Country:US
Practice Address - Phone:415-517-5844
Practice Address - Fax:415-520-1100
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA650698163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty