Provider Demographics
NPI:1811621709
Name:BELMONTE, BREANA STEELE
Entity Type:Individual
Prefix:
First Name:BREANA
Middle Name:STEELE
Last Name:BELMONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BREANA
Other - Middle Name:HOPE
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:413 STARKEY ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-2388
Mailing Address - Country:US
Mailing Address - Phone:540-267-4589
Mailing Address - Fax:
Practice Address - Street 1:413 STARKEY ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-2388
Practice Address - Country:US
Practice Address - Phone:540-267-4589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant