Provider Demographics
NPI:1144476680
Name:BELLMORE, VICTORIA LYN (APN, C)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LYN
Last Name:BELLMORE
Suffix:
Gender:F
Credentials:APN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 HOLLY PKWY
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-2007
Mailing Address - Country:US
Mailing Address - Phone:856-725-0746
Mailing Address - Fax:856-875-1931
Practice Address - Street 1:16 ROOSEVELT DR
Practice Address - Street 2:
Practice Address - City:LAUREL SPRINGS
Practice Address - State:NJ
Practice Address - Zip Code:08021-2731
Practice Address - Country:US
Practice Address - Phone:800-213-2266
Practice Address - Fax:856-232-8260
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00122300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily