Healthcare Provider Details

I. General information

NPI: 1831651900
Provider Name (Legal Business Name): NALYNN BELLEGARDE DNP, CRNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 CHESSIE CROSSING WAY
WOODBINE MD
21797-8768
US

IV. Provider business mailing address

760 CHESSIE CROSSING WAY
WOODBINE MD
21797-8768
US

V. Phone/Fax

Practice location:
  • Phone: 410-255-0102
  • Fax: 410-255-0103
Mailing address:
  • Phone: 410-255-0102
  • Fax: 410-255-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR206498
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: