Provider Demographics
NPI:1922576347
Name:BELIDOR, NERLANDE (RN, MSN, ARNP)
Entity Type:Individual
Prefix:
First Name:NERLANDE
Middle Name:
Last Name:BELIDOR
Suffix:
Gender:F
Credentials:RN, MSN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7456 VISCAYA CIR
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-6892
Mailing Address - Country:US
Mailing Address - Phone:954-274-9565
Mailing Address - Fax:954-800-8705
Practice Address - Street 1:9565 NW 27TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4936
Practice Address - Country:US
Practice Address - Phone:954-274-9565
Practice Address - Fax:954-800-8705
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9222089163WA2000X
FLARNP9222089363LF0000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily