Individual
MARC BELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 W MAIN RD, MIDDLETOWN, RI 02842-6301
(401) 606-3110
(401) 619-8969
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01735
RI
Other
Enumeration date
12/05/2017
Last updated
08/29/2019
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