Healthcare Provider Details

I. General information

NPI: 1104223551
Provider Name (Legal Business Name): VALERIE A BELLARIO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 S ARROWHEAD DR STE B
INDEPENDENCE MO
64055-7021
US

IV. Provider business mailing address

410 WABASH AVE APT 3
KANSAS CITY MO
64124-1741
US

V. Phone/Fax

Practice location:
  • Phone: 816-795-6000
  • Fax: 816-795-6064
Mailing address:
  • Phone: 816-349-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-76658-081
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2015012515
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: