Provider Demographics
NPI:1639875743
Name:BELENSZ, MARGARET G
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:G
Last Name:BELENSZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 N WINOOSKI AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4039
Mailing Address - Country:US
Mailing Address - Phone:518-618-7855
Mailing Address - Fax:
Practice Address - Street 1:176 N WINOOSKI AVE APT 2
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4039
Practice Address - Country:US
Practice Address - Phone:518-618-7855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0113633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse