MEDICARE: CLAIRE MCMILLAN BELLEW

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
1	363LW0102X	Women's Health Nurse Practitioner	201936	LA

General Provider Information

NPI Number	:	1245187137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE MCMILLAN BELLEW

Provider Business Mailing Address
First Line	:	2449 HOSPITAL DR STE 260
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-1909
Country	:	US
Telephone Number	:	318-212-7840
Fax Number	:	318-212-7845

Provider Business Practice Location Address
First Line	:	2449 HOSPITAL DR STE 260
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-1909
Country	:	US
Telephone Number	:	318-212-7840
Fax Number	:	318-212-7845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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