Provider Demographics
NPI:1831945609
Name:BELLEVILLE, BETTE (RN)
Entity type:Individual
Prefix:
First Name:BETTE
Middle Name:
Last Name:BELLEVILLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CORBIN DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2785
Mailing Address - Country:US
Mailing Address - Phone:610-453-9963
Mailing Address - Fax:
Practice Address - Street 1:12 CORBIN DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2785
Practice Address - Country:US
Practice Address - Phone:610-453-9963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN511951L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse