NPI 1295445203

Blanche B Belliveau Fnp-Bc LLC

Organisation Point of Service South Portland, ME

Practice location

Address: 100 Brickhill Ave STE 304, South Portland, ME 04106-1999
Phone: (207) 761-4700
Fax: (207) 761-4744

Authorised official

Name: Blanche B Belliveau
Title: Owner
Phone: (207) 710-4864

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1295445203
Entity type: Organization
NPI issued: 30 Nov 2022
Record last updated: 30 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.