Healthcare Provider Details

I. General information

NPI: 1942237334
Provider Name (Legal Business Name): FRANK D. BELLISTRI NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST UNIT 4
PROVINCETOWN MA
02657-1322
US

IV. Provider business mailing address

26 COURT ST UNIT 4
PROVINCETOWN MA
02657-1322
US

V. Phone/Fax

Practice location:
  • Phone: 508-444-9966
  • Fax: 617-245-4619
Mailing address:
  • Phone: 508-444-9966
  • Fax: 617-245-4619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN196377
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: