MS. MARYELLEN BELISLE APRN NPI 1508892001

NPI Information

NPI: 1508892001
Provider Name: MS. MARYELLEN BELISLE, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: DARTMOUTH HITCHCOCK CLINIC

PECOS Registration: Yes

Address:
789 CENTRAL AVE
DOVER, NH
ZIP 03820
Phone: (603) 740-2366
Get Directions

MS. Maryellen Belisle, APRN is a pediatrics nurse practitioner in Dover, NH with 24 years of experience. MS. Maryellen Belisle, APRN NPI is 1508892001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

789 CENTRAL AVE
DOVER, NH
ZIP 03820-526
Phone: (603) 740-2366
Fax: (603) 740-2536

The NPI 1508892001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	051433-23-02	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	30342268	MEDICAID	NEW HAMPSHIRE
2	NP416502	MEDICARE PIN	NEW HAMPSHIRE
3	P88628	MEDICARE UPIN	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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