MEDICARE: MS. BELINDA ANDERSON PMHNP-BC AND FNP-C

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	APRN.CNP.13265	OH
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.13265	OH

General Provider Information

NPI Number	:	1982962676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BELINDA ANDERSON PMHNP-BC AND FNP-C

Provider Business Mailing Address
First Line	:	967 KEMPER MEADOW DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1463
Country	:	US
Telephone Number	:	513-919-1698
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ELMWOOD PARK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45449-5402
Country	:	US
Telephone Number	:	937-384-0580
Fax Number	:

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

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	03/14/2019

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