Provider Demographics
NPI:1710919113
Name:BELKINA, YEVGENIYA (NP)
Entity Type:Individual
Prefix:MRS
First Name:YEVGENIYA
Middle Name:
Last Name:BELKINA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-1752
Practice Address - Street 1:74 MAIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2952
Practice Address - Country:US
Practice Address - Phone:508-270-8844
Practice Address - Fax:508-879-2629
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA236680363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP 3724OtherBC/BS
MA110134431AMedicaid
MABE NP 3724Medicare ID - Type Unspecified