Provider Demographics
NPI:1215452792
Name:BELLIVEAU, ASHLEE TAYLOR (NP-C)
Entity type:Individual
Prefix:MISS
First Name:ASHLEE
Middle Name:TAYLOR
Last Name:BELLIVEAU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5701
Mailing Address - Country:US
Mailing Address - Phone:508-397-0776
Mailing Address - Fax:
Practice Address - Street 1:155 SPRING ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-5208
Practice Address - Country:US
Practice Address - Phone:212-343-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily