Provider Demographics
NPI:1447472022
Name:BELLISSIMO, LINDA SUE (RN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:BELLISSIMO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 RIVERDOWNS CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8024
Mailing Address - Country:US
Mailing Address - Phone:513-856-7737
Mailing Address - Fax:
Practice Address - Street 1:3825 RIVERDOWNS CT
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-8024
Practice Address - Country:US
Practice Address - Phone:513-856-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 216743163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse