Healthcare Provider Details

I. General information

NPI: 1598148710
Provider Name (Legal Business Name): JULIANNE BELSKY CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MORGAN FARMS DR
SOUTH WINDSOR CT
06074-1391
US

IV. Provider business mailing address

23 JESSAMINE ST
WEST HARTFORD CT
06119-1915
US

V. Phone/Fax

Practice location:
  • Phone: 860-644-5687
  • Fax:
Mailing address:
  • Phone: 860-670-5014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number382606
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number686130
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: