Healthcare Provider Details

I. General information

NPI: 1770117756
Provider Name (Legal Business Name): ELIZABETH PATRICIA BELTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 S WELLS AVE
RENO NV
89502-2550
US

IV. Provider business mailing address

1055 S WELLS AVE
RENO NV
89502-2550
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-6300
  • Fax:
Mailing address:
  • Phone: 775-329-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN60582754
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number829222
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: