Provider Demographics
NPI:1104500198
Name:BELSHE, HANNAH NICOLE I
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:NICOLE
Last Name:BELSHE
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 W OLIVE AVE UNIT 68
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-4220
Mailing Address - Country:US
Mailing Address - Phone:623-293-1346
Mailing Address - Fax:
Practice Address - Street 1:5201 W OLIVE AVE UNIT 68
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-4220
Practice Address - Country:US
Practice Address - Phone:623-293-1346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA14358261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech