Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 403482 | NY |
NPI | 1023683471 |
---|---|
Provider Name | Anna Elaine Bellinger |
First Address | Saratoga Springs, NY 12866-4226 |
Second Address | Saratoga Springs, NY 12866-4226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2021 |
Last Update Date | 26/05/2021 |