Provider Demographics
NPI:1437637881
Name:BELLAMY, GAETANE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:GAETANE
Middle Name:
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3735
Mailing Address - Country:US
Mailing Address - Phone:201-649-1190
Mailing Address - Fax:201-730-0433
Practice Address - Street 1:523 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3735
Practice Address - Country:US
Practice Address - Phone:201-649-1190
Practice Address - Fax:201-730-0433
Is Sole Proprietor?:No
Enumeration Date:2018-07-29
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343396363LF0000X
NJ26NJ14892900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily