Individual
MRS. LARISSA MARIE BELLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
502 VNA RD, EAST STROUDSBURG, PA 18301-7965
(570) 421-5390
Mailing address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 421-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP020459
PA
363LG0600X
Gerontology Nurse Practitioner
SP020459
PA
Other
Enumeration date
08/26/2019
Last updated
05/06/2024
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