Individual
AMY JENE' BELLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26401 PACIFIC HWY S, DES MOINES, WA 98198-9247
(253) 870-3588
Mailing address
1016 N 12TH ST, TACOMA, WA 98403-1819
(253) 988-9754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60223417
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60223417
REGISTERED NURSE
WA
Enumeration date
06/13/2017
Last updated
06/13/2017
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