Dianna Velicia Belaire, NP-C
Nurse Practitioner, Family in Port Arthur, TX. Individual provider (NPI-1).
NPI number1689038655
StatusActive
Last updated in NPPESApr 6, 2016
Details
- NPI
- 1689038655
- Entity type
- Individual (NPI-1)
- Name
- Dianna Velicia Belaire
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2016
- Last updated
- Apr 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP130639 | TX | Yes |
Practice location
2555 Jimmy Johnson BlvdPort Arthur, TX 77640-2007
Phone 409-853-5400 · Fax 409-853-5399
Mailing address
300 S Park RdSuite 400
Hollywood, FL 33021-8593
Phone 954-693-0000 · Fax 954-693-0005
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