Provider Demographics
NPI:1114013422
Name:WALSH, BELINDA NICOLE (WHNP, PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:NICOLE
Last Name:WALSH
Suffix:
Gender:F
Credentials:WHNP, PMHNP
Other - Prefix:MS
Other - First Name:BELINDA
Other - Middle Name:NICOLE
Other - Last Name:BOOKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNC, WHNP
Mailing Address - Street 1:301 N CAMERON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4899
Mailing Address - Country:US
Mailing Address - Phone:540-536-1680
Mailing Address - Fax:540-662-3153
Practice Address - Street 1:301 N CAMERON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4899
Practice Address - Country:US
Practice Address - Phone:540-536-1680
Practice Address - Fax:540-662-3153
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017137837363LW0102X
WV103807363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ174645C2HMedicare PIN