Individual
BLANCHE BERGEN BELLIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
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
363LF0000X
Family Nurse Practitioner
Primary
CNP201079
ME
Other
Enumeration date
11/04/2020
Last updated
11/06/2020
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