Individual
AIMEE M BELFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2284
(610) 595-6000
(877) 329-2370
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(888) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0037182
DE
367500000X
Certified Registered Nurse Anesthetist
L6-0A00609
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
RN580906
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086581
AANA ID#
—
Enumeration date
07/01/2010
Last updated
11/08/2019
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