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DR. DENISE MICHELLE BELANGER RN, NP, PMHNP
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1124350822
Individual Registrant:DR. DENISE MICHELLE BELANGER RN, NP, PMHNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
147 ROSS ST APT 1 SAN RAFAEL, CA 94901-4958 US
Tel: 415-578-0343 Fax: --
Tel: 415-578-0343 Fax: --
Contact information for business:
147 ROSS ST APT 1 SAN RAFAEL, CA 94901-4958 US
Tel: 415-578-0343 Fax: --
Tel: 415-578-0343 Fax: --
Registration Information:
NPI: 1124350822
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163W00000X | Nursing Service Providers Registered Nurse | CA | 742135 |
| N | 163WP0808X | Nursing Service Providers Registered Nurse | CA | 574 |
| N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 23844 |
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 23844 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
