Individual
MARCO BELLUARDO-CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Mailing address
P.O. BOX 526, 269 UNION STREET, LYNN, MA 01901-1314
(781) 477-7222
(781) 598-1050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 233936
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
233936
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088817A
—
MA
Enumeration date
06/14/2007
Last updated
07/25/2019
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