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NPI Code Detail

MEDICARE: CRYSTAL BELMONT PMHNP-BC

MEDICARE: CRYSTAL BELMONT PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseRN.1626272CO
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0999221-NPCO

General Provider Information

NPI Number : 1043695703
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL BELMONT PMHNP-BC
Provider Business Mailing Address
First Line : 208 W 8TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-3023
Country : US
Telephone Number : 719-696-8007
Fax Number : 719-696-9149
Provider Business Practice Location Address
First Line : 6656 SUMMER GRACE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-4428
Country : US
Telephone Number : 520-612-0466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 02/06/2026

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Directions to “ CRYSTAL BELMONT PMHNP-BC” Practice Location

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