Doctor Name: | LARISA BELISLE-GILBERT |
NPI Number: | 1033160304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNCS |
License Number: | 154303 |
Business Practice Address: | 300 Linden Ponds Way Hingham, MA - 020433769 |
Business Phone Number: | 7815347100 |
Business Fax Number: | 7815347358 |
Mailing Address: | 5525 Research Park Dr Fl 4, BALTIMORE |
State: | MD |
Postal Code: | 212284873 |
Phone Number: | 7815347100 |
Fax Number: | 7815347358 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 154303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |