Laurensia Hermy Widyastami, AGNP-BC
Laurensia Hermy Widyastami, AGNP-BC is a Nurse Practitioner in San Francisco, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
450 Stanyan StSan Francisco, CA 94117-1019
Phone: (415) 680-4135
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 95007344 (CA) |
|---|
Record details
| NPI number | 1427568351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-BC |
| Sole proprietor | No |
| NPI enumerated | October 5, 2017 |
| Last updated in NPPES | October 5, 2017 |
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