Active NPIIndividual providerSole proprietor

Blanche B Belliveau, NP

Nurse Practitioner, Family in South Portland, Maine

NPI Number1417558511
Practice location
100 Brickhill Ave Ste 304, South Portland, ME 04106-1999
Fax
207-761-4744
Last updated
November 6, 2020

Blanche Bergen Belliveau is a Nurse Practitioner, Family based in South Portland, ME. Blanche Bergen Belliveau practices in South Portland, ME and has the professional credentials of NP. The NPI Number for Blanche Bergen Belliveau is 1417558511 and holds a License No. CNP201079 (ME). The current practice location address for Blanche Bergen Belliveau is 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 and can be reached out via phone at 207-761-4700 and via fax at 207-761-4744.

Provider Profile Details

NPI Number
1417558511
Provider Name
Blanche Bergen Belliveau
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Brickhill Ave Ste 304, South Portland, ME 04106-1999
Phone Number
207-761-4700
Fax Number
207-761-4744
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 4, 2020
Last Update Date
November 6, 2020
Certification Date
November 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
State
Maine
Zip
04106-1999
Phone Number
207-761-4700
Fax Number
207-761-4744
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
City
South Portland
State
ME
Zip
04106-1999
Phone Number
207-761-4700
Fax Number
207-761-4744

License Information

License Number
CNP201079
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Blanche B Belliveau, NP?

The NPI number of Blanche B Belliveau, NP is 1417558511. It was assigned on November 4, 2020 and is currently active in the NPPES registry.

What is the specialty of Blanche B Belliveau, NP?

Blanche B Belliveau, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP201079.

Where does Blanche B Belliveau, NP practice?

The practice location is 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999. The office can be reached at 207-761-4700 (phone) or 207-761-4744 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417558511 directly on the NPPES registry website.

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