Lillian Belanger, RN
Individual provider Active NPI Registered Nurse · Easton, MD
NPI 1144733304 · NPPES record last updated Nov 9, 2017
Key facts
- NPI
- 1144733304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R187902 (MD)
- Practice address
- 219 S Washington St
Easton, MD 21601-2913 - Phone
- (410) 822-1000
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R187902 | MD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R187902 | MD | Yes |
Addresses
Primary practice location
219 S Washington St
Easton, MD 21601-2913
Mailing address
329 Larch PL
Stevensville, MD 21666-2327
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R187902 | Other | MD | MARYLAND BOARD OF NURSING |
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.