Doctor Name: | MICHELLE RENEE BELLEVUE |
NPI Number: | 1043623887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN 2284653 |
License Number: | RN2284653 |
Business Practice Address: | 107 Cedar St Holliston, MA - 017461230 |
Business Phone Number: | 7814678446 |
Business Fax Number: | |
Mailing Address: | 107 Cedar St, HOLLISTON |
State: | MA |
Postal Code: | 01746 |
Phone Number: | 7814678446 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2014 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN2284653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |