Provider Demographics
NPI:1497035380
Name:BELLAMY, DENE RUTH (CNS/PMH-NP)
Entity Type:Individual
Prefix:MS
First Name:DENE
Middle Name:RUTH
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:CNS/PMH-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 HOPKINS RUN DRIVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30095-9531
Mailing Address - Country:US
Mailing Address - Phone:770-729-1608
Mailing Address - Fax:
Practice Address - Street 1:3073 PANTHERSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034
Practice Address - Country:US
Practice Address - Phone:404-243-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN119661364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult