Provider Demographics
NPI:1740729201
Name:NANCY BILELLO L.AC., INC.
Entity type:Organization
Organization Name:NANCY BILELLO L.AC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BILELLO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-280-4905
Mailing Address - Street 1:15880 W 14TH PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2925
Mailing Address - Country:US
Mailing Address - Phone:720-280-4905
Mailing Address - Fax:
Practice Address - Street 1:3460 S SHERMAN ST
Practice Address - Street 2:#201
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2681
Practice Address - Country:US
Practice Address - Phone:720-280-4905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO536261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center