Provider Demographics
NPI:1881140671
Name:BELANGER, GALE ELIZABETH (ARNP)
Entity type:Individual
Prefix:
First Name:GALE
Middle Name:ELIZABETH
Last Name:BELANGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9631
Mailing Address - Country:US
Mailing Address - Phone:772-214-0613
Mailing Address - Fax:772-692-3144
Practice Address - Street 1:1711 NW FEDERAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-214-0613
Practice Address - Fax:772-692-3144
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2787502363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health