Provider Demographics
NPI:1831338433
Name:BELLINI, VIVIAN (RN)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:BELLINI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33302 MADERA DE PLAYA
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-9280
Mailing Address - Country:US
Mailing Address - Phone:951-676-2330
Mailing Address - Fax:951-676-4709
Practice Address - Street 1:33302 MADERA DE PLAYA
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-9280
Practice Address - Country:US
Practice Address - Phone:951-676-2330
Practice Address - Fax:951-676-4709
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA513052163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care