Provider Demographics
NPI:1114980596
Name:HUNT BELLAH, ANN MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:HUNT BELLAH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANN MARIE
Other - Middle Name:
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:751 S BASCOM AVE
Mailing Address - Street 2:SCVMC, VSC, SUITE 540, DIVISION OF GASTROENTEROLOGY
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2604
Mailing Address - Country:US
Mailing Address - Phone:408-885-7950
Mailing Address - Fax:408-885-7999
Practice Address - Street 1:751 S BASCOM AVE
Practice Address - Street 2:SCVMC, VSC, SUITE 540, DIVISION OF GASTROENTEROLOGY
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2604
Practice Address - Country:US
Practice Address - Phone:408-885-7950
Practice Address - Fax:408-885-7999
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200615363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ25850ZMedicare PIN
CAP93996Medicare UPIN