Provider Demographics
NPI:1124733613
Name:VUE, CAMMY BELE (LVN)
Entity type:Individual
Prefix:
First Name:CAMMY
Middle Name:BELE
Last Name:VUE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-3108
Mailing Address - Country:US
Mailing Address - Phone:209-947-2293
Mailing Address - Fax:
Practice Address - Street 1:1101 HELEN DR
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-1015
Practice Address - Country:US
Practice Address - Phone:650-583-7590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA730347164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse