Laurensia Hermy Widyastami
AGNP-BC | Nurse Practitioner | 8+ years Exp
450 Stanyan St, San Francisco
California, 94117-1019
415-680-4135
Laurensia Hermy Widyastami is a San Francisco, California based nurse practitioner with 8 years of experience in . She completed her graduation from University Of California, San Francisco School Of Medicine in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Laurensia Hermy Widyastami is 95007344 in California. Her current practice location is 450 Stanyan St, San Francisco. Patients can reach her at 415-680-4135. Laurensia Hermy Widyastami is AGNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1427568351.
Laurensia Hermy Widyastami has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Laurensia Hermy Widyastami speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Laurensia Hermy Widyastami |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | AGNP-BC |
| Experience: | 8+ years |
| Medical School Attended: | University Of California, San Francisco School Of Medicine |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 450 Stanyan St, San Francisco,
California, 94117-1019 |
| Phone: | 415-680-4135 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4183988173 |
| Enrollment ID: | I20180426002742 |
| NPI Number: | 1427568351 |
| NPI Enumeration Date: | 05 Oct, 2017 |
| NPI Last Update On: | 05 Oct, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laurensia Hermy Widyastami are as mentioned below.
| License Number | Specialization | State | Status | |
| 95007344 | | California | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Laurensia Hermy Widyastami is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Pacific Inpatient Medical Group (6608956966) | 107 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Laurensia Hermy Widyastami
61a Sussex St,
San Francisco, California |
| Zip: | 94131-3011 |
| Phone Number: | 626-232-1421 |
Patients can reach Laurensia Hermy Widyastami at
450 Stanyan St, San Francisco, California or can
call to book an appointment on 415-680-4135.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.