Provider Demographics
NPI:1023326881
Name:BELOW, BERNADETTE SARAH (NP)
Entity type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:SARAH
Last Name:BELOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2095 E BIG BEAVER RD STE 375
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2374
Mailing Address - Country:US
Mailing Address - Phone:248-963-1124
Mailing Address - Fax:248-250-9263
Practice Address - Street 1:2095 E BIG BEAVER RD STE 375
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2374
Practice Address - Country:US
Practice Address - Phone:248-705-6223
Practice Address - Fax:248-253-1462
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2019-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704176316363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology