Cathy Marie Bellard, LVN

Individual provider Active NPI Licensed Practical Nurse · Barstow, CA

NPI 1497943484 · NPPES record last updated Oct 4, 2007

Key facts

NPI
1497943484
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
VN204525 (CA)
Practice address
311 Wilshire PL
Barstow, CA 92311-2944
Phone
(760) 380-3971
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VN204525CAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN204525 CA Yes

Addresses

Primary practice location

311 Wilshire PL
Barstow, CA 92311-2944

Mailing address

311 Wilshire PL
Barstow, CA 92311-2944
Phone (760) 255-2899

Other identifiers

IdentifierTypeStateIssuer
VN204525OtherCALVN

Other providers in Barstow, CA

All providers in Barstow, CA · Licensed Practical Nurse in California

Sources for this page

Verify at the official NPI Registry.