Individual
MRS. SARA BETH BELLUOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
22101 MOROSS RD, PHYSICIAN EXTENDER, ST. JOHN HOSPITAL & MEDICAL CENTER, DETROIT, MI 48236-2148
(313) 343-3134
(313) 343-7495
Mailing address
1509 ANNE DR, ROYAL OAK, MI 48067-4537
(586) 915-5153
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A1108249
MI
Other
Enumeration date
03/09/2009
Last updated
07/20/2022
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