Provider Demographics
NPI:1104832963
Name:BELLE, VALENCIA R (NP)
Entity Type:Individual
Prefix:
First Name:VALENCIA
Middle Name:R
Last Name:BELLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000W MERCURY BLVD C
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3700
Mailing Address - Country:US
Mailing Address - Phone:757-826-0020
Mailing Address - Fax:757-826-0041
Practice Address - Street 1:4000W MERCURY BLVD C
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3700
Practice Address - Country:US
Practice Address - Phone:757-826-0020
Practice Address - Fax:757-826-0041
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024000020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7788355Medicaid
VA999994OtherANTHEM
VA999994OtherANTHEM
P21653Medicare UPIN
VA7788355Medicaid