Provider Demographics
NPI:1740232164
Name:BELLAVANCE, JULIANNE (NMN) (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:(NMN)
Last Name:BELLAVANCE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:215 KUKURIN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH VERSAILLES
Mailing Address - State:PA
Mailing Address - Zip Code:15137-1100
Mailing Address - Country:US
Mailing Address - Phone:412-816-0237
Mailing Address - Fax:412-816-0237
Practice Address - Street 1:HEMPFIELD PLAZA ROUTE 30W, RURAL ROUTE6
Practice Address - Street 2:VA PRIMARY CARE OUTPATIENT CLINIC
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-837-5200
Practice Address - Fax:724-837-5400
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP 003749-B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily