Healthcare Provider Details

I. General information

NPI: 1649642059
Provider Name (Legal Business Name): BELINDA GELLHAUS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2015
Last Update Date: 10/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5715 SNOW RD
HENRYVILLE IN
47126-8920
US

IV. Provider business mailing address

5715 SNOW RD
HENRYVILLE IN
47126-8920
US

V. Phone/Fax

Practice location:
  • Phone: 480-235-0490
  • Fax:
Mailing address:
  • Phone: 480-235-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number28207541A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: