Belluardo-Crosby, Marco

Belluardo-Crosby, Marco is an individual health care provider with primary practice located at 269 Union St , Lynn MA 01901-1314. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Belluardo-Crosby, Marco can be contacted via phone (781) 581-3900.

Contact Information

Primary practice address
269 Union St Lynn MA 01901-1314
Phone: (781) 581-3900
Fax: (781) 598-1050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 233936 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 233936 Massachusetts

Profile Details

NPI number 1801090451
LBN Legal business name Belluardo-Crosby, Marco
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801090451 NPPES
Massachusetts MEDICAID 110088817A

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