Healthcare Provider Details

I. General information

NPI: 1497682223
Provider Name (Legal Business Name): VICTORIA LYNN BELANGER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 CENTRAL ST APT 301
GARDNER MA
01440-3886
US

IV. Provider business mailing address

309 CENTRAL ST APT 301
GARDNER MA
01440-3886
US

V. Phone/Fax

Practice location:
  • Phone: 978-512-2285
  • Fax:
Mailing address:
  • Phone: 978-512-2285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2390094
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: