Healthcare Provider Details

I. General information

NPI: 1699131912
Provider Name (Legal Business Name): BELDINE NDALO- NDOLO NNP-BC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6621 FANNIN ST
HOUSTON TX
77030-2358
US

IV. Provider business mailing address

6701 FANNIN ST
HOUSTON TX
77030-2608
US

V. Phone/Fax

Practice location:
  • Phone: 832-824-1693
  • Fax:
Mailing address:
  • Phone: 832-824-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number886583
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP129948
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: