Provider Demographics
NPI:1720437056
Name:BELISARIO, RICCI CONTESSA (FNP-C)
Entity type:Individual
Prefix:
First Name:RICCI
Middle Name:CONTESSA
Last Name:BELISARIO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18077 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-8303
Mailing Address - Country:US
Mailing Address - Phone:317-214-6420
Mailing Address - Fax:317-214-6015
Practice Address - Street 1:18077 RIVER RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-8303
Practice Address - Country:US
Practice Address - Phone:317-214-6420
Practice Address - Fax:317-214-6015
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71006303A363LF0000X
IN28171231A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse