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NPI Code Detail

MEDICARE: DR. DENISE MICHELLE BELANGER RN, NP, PMHNP

MEDICARE:  DR. DENISE MICHELLE BELANGER  RN, NP, PMHNP
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
1163W00000XRegistered Nurse742135CA
2163WP0808XPsychiatric/Mental Health Registered Nurse574CA
3363L00000XNurse Practitioner23844CA
4363LP0808XPsychiatric/Mental Health Nurse Practitioner23844CA

General Provider Information

NPI Number : 1124350822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENISE MICHELLE BELANGER RN, NP, PMHNP
Provider Business Mailing Address
First Line : 147 ROSS ST APT 1
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-4958
Country : US
Telephone Number : 415-578-0343
Fax Number :
Provider Business Practice Location Address
First Line : 147 ROSS ST APT 1
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-4958
Country : US
Telephone Number : 415-578-0343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2010
Last Update Date : 01/20/2022

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Directions to “ DR. DENISE MICHELLE BELANGER RN, NP, PMHNP” Practice Location

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