Provider Demographics
NPI:1942237334
Name:BELLISTRI, FRANK D (NP)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:D
Last Name:BELLISTRI
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 COURT ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:PROVINCETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02657-1322
Mailing Address - Country:US
Mailing Address - Phone:508-444-9966
Mailing Address - Fax:617-245-4619
Practice Address - Street 1:26 COURT ST UNIT 4
Practice Address - Street 2:
Practice Address - City:PROVINCETOWN
Practice Address - State:MA
Practice Address - Zip Code:02657-1322
Practice Address - Country:US
Practice Address - Phone:508-444-9966
Practice Address - Fax:617-245-4619
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN196377363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP2916Medicare ID - Type Unspecified