Organization
BLANCHE B BELLIVEAU FNP-BC LLC
Active
Organization
BLANCHE B BELLIVEAU FNP-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCHE B BELLIVEAU FNP (OWNER)
(207) 710-4864
Entity
Organization
Contact information
Practice address
100 BRICKHILL AVE STE 304, SOUTH PORTLAND, ME 04106-1999
(207) 761-4700
(207) 761-4744
Mailing address
100 BRICKHILL AVE STE 304, SOUTH PORTLAND, ME 04106-1999
(207) 761-4700
(207) 761-4744
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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