Provider Demographics
NPI:1659915114
Name:BELIZAIRE, SHERIL (MSN, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHERIL
Middle Name:
Last Name:BELIZAIRE
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 ROSEVILLE PL
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6437
Mailing Address - Country:US
Mailing Address - Phone:954-464-7320
Mailing Address - Fax:
Practice Address - Street 1:204 ROSEVILLE PL
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6437
Practice Address - Country:US
Practice Address - Phone:954-464-7320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004818363LA2100X
SCAPN26817363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care