Basic Information
| Provider Information | |||||||||
| NPI: | 1881944767 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELLINGER | ||||||||
| FirstName: | AIMEE | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1360 N SAINT HELEN RD | ||||||||
| Address2: | PO BOX 39 | ||||||||
| City: | SAINT HELEN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486569521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9893894944 | ||||||||
| FaxNumber: | 9893891401 | ||||||||
| Practice Location | |||||||||
| Address1: | 1360 N SAINT HELEN RD | ||||||||
| Address2: | |||||||||
| City: | SAINT HELEN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486569521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9893894944 | ||||||||
| FaxNumber: | 9893891401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2012 | ||||||||
| LastUpdateDate: | 09/18/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 4704215623 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.