Provider Demographics
NPI:1629948369
Name:BELGARDE, RAELYNN JOY
Entity type:Individual
Prefix:MRS
First Name:RAELYNN
Middle Name:JOY
Last Name:BELGARDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316-1551
Mailing Address - Country:US
Mailing Address - Phone:701-278-1954
Mailing Address - Fax:
Practice Address - Street 1:9792 BIA RD 3
Practice Address - Street 2:
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316-1551
Practice Address - Country:US
Practice Address - Phone:701-278-1954
Practice Address - Fax:701-278-1954
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant