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NPI Code Detail

MEDICARE: MISS ASHLEE TAYLOR BELLIVEAU NP

MEDICARE: MISS ASHLEE TAYLOR BELLIVEAU NP
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
1363LF0000XFamily Nurse PractitionerAPRN02845RI

General Provider Information

NPI Number : 1215452792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEE TAYLOR BELLIVEAU NP
Provider Business Mailing Address
First Line : 15 LA SALLE SQ
Second Line :
City : PROVIDENCE
State : RI
Zip : 02903-1814
Country : US
Telephone Number : 401-444-6779
Fax Number : 401-444-6912
Provider Business Practice Location Address
First Line : 593 EDDY ST
Second Line : APC 10
City : PROVIDENCE
State : RI
Zip : 02903-4923
Country : US
Telephone Number : 401-444-7959
Fax Number : 401-444-7144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2017
Last Update Date : 03/10/2026

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