Provider Demographics
NPI:1740319714
Name:BELINO, MARIA T (CNA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:T
Last Name:BELINO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6951 SHANE PL
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-2594
Mailing Address - Country:US
Mailing Address - Phone:907-227-3364
Mailing Address - Fax:907-334-0904
Practice Address - Street 1:6951 SHANE PL
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-2594
Practice Address - Country:US
Practice Address - Phone:907-227-3364
Practice Address - Fax:907-334-0904
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK100525310400000X
AK9466376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered376K00000XNursing Service Related ProvidersNurse's Aide