Provider Demographics
NPI:1124102421
Name:CUEVAS, LAURA ELENA (RN)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ELENA
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:ELENA
Other - Last Name:SOMERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:500 E ALMOND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5600
Practice Address - Country:US
Practice Address - Phone:559-675-1133
Practice Address - Fax:559-675-0419
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA541308163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse