Healthcare Provider Details

I. General information

NPI: 1134451248
Provider Name (Legal Business Name): GINA DECENE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINA DECENE-BELLEGARDE

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 ELECTRIC AVE STE 102
FITCHBURG MA
01420-7954
US

IV. Provider business mailing address

33 ELECTRIC AVE STE 102
FITCHBURG MA
01420-7954
US

V. Phone/Fax

Practice location:
  • Phone: 508-363-5000
  • Fax: 508-363-7551
Mailing address:
  • Phone: 508-363-5000
  • Fax: 508-363-7551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN274732
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: