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BELMONT FAMILY PRACTICE INC. NPI 1073063715


NPI Information

NPI: 1073063715
Provider Name: BELMONT FAMILY PRACTICE, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 21D2208993

Address:
1346 BELMONT AVE STE 602
SALISBURY, MD
ZIP 21804
Phone: (443) 978-7317
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BELMONT FAMILY PRACTICE, INC. is a family nurse practitioner in Salisbury, MD. BELMONT FAMILY PRACTICE, INC. NPI is 1073063715. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1346 BELMONT AVE STE 602
SALISBURY, MD
ZIP 21804-589
Phone: (443) 978-7317
Fax: (443) 736-4080

The provider's authorized official is Donna Marie Gray .
The authorized official title is President and has the following contact phone number (443) 978-7317.

The CLIA number assigned to this NPI record is 21D2208993 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2016 and was last updated on 12/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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