Provider Demographics
NPI:1134469133
Name:BELLISFIELD, DALE (RN, RH(AHG))
Entity Type:Individual
Prefix:MS
First Name:DALE
Middle Name:
Last Name:BELLISFIELD
Suffix:
Gender:F
Credentials:RN, RH(AHG)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BALLARD PL
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3601
Mailing Address - Country:US
Mailing Address - Phone:201-797-2583
Mailing Address - Fax:201-797-4123
Practice Address - Street 1:7 BALLARD PL
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3601
Practice Address - Country:US
Practice Address - Phone:201-797-2583
Practice Address - Fax:201-797-4123
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11483800163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse