MEDICARE: MISS MARIA JESSICA BELMONTE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	13284	CA

General Provider Information

NPI Number	:	1184650723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARIA JESSICA BELMONTE NP

Provider Business Mailing Address
First Line	:	PCS 80, BOX 13156
Second Line	:
City	:	APO
State	:	AP
Zip	:	96367
Country	:	US
Telephone Number	:	611-730-4060
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 MEDICAL OPERATIONS SQ FFM1N0(PAF)
Second Line	:
City	:	KADENA
State	:	OKINAWA
Zip	:	96368-0000
Country	:	JP
Telephone Number	:	011816117304780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	06/24/2010

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