Belluardo-Crosby, Marco
Belluardo-Crosby, Marco is an individual health care provider with primary practice located at 269 Union St , Lynn MA 01901-1314. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Belluardo-Crosby, Marco can be contacted via phone (781) 581-3900.Contact Information
Primary practice address
269 Union St
Lynn MA 01901-1314
Phone: (781) 581-3900
Fax: (781) 598-1050
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN 233936 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 233936 | Massachusetts |
Profile Details
NPI number | 1801090451 |
---|---|
LBN Legal business name | Belluardo-Crosby, Marco |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2007 |
Last updated | Jul 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801090451 | NPPES |
Massachusetts | MEDICAID | 110088817A |
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