Individual provider · Type 1 NPI
Sara Beth Belluomo, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Detroit, MI
NPI number
1114168911
Active
Practice location
22101 Moross Rd, Physician Extender, St. John Hospital & Medical Center
Detroit, MI 48236-2148
Fax (313) 343-7495
Mailing address
1509 Anne Dr
Royal Oak, MI 48067-4537
Other practice locations
- 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 · (248) 898-4021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | A1108249 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1114168911
Sara Beth Belluomo, NURSE PRACTITIONER's National Provider Identifier is 1114168911, issued on Mar 9, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Jul 20, 2022.