Doctor Name: | MRS. VICTORIA LYN BELLMORE |
NPI Number: | 1144476680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, C |
License Number: | 26NJ00122300 |
Business Practice Address: | 16 Roosevelt Dr Laurel Springs, NJ - 080212731 |
Business Phone Number: | 8002132266 |
Business Fax Number: | 8562328260 |
Mailing Address: | 104 Holly Pkwy, WILLIAMSTOWN |
State: | NJ |
Postal Code: | 080942007 |
Phone Number: | 8567250746 |
Fax Number: | 8568751931 |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00122300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |