Basic Information
Provider Information
NPI: 1619257474
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELDEN
FirstName: LINDSAY
MiddleName: A
NamePrefix: MRS.
NameSuffix:  
Credential: ANP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2630 E SEVENTH ST
Address2: SUITE 200
City: CHARLOTTE
State: NC
PostalCode: 282044318
CountryCode: US
TelephoneNumber: 7043646110
FaxNumber: 7043644245
Practice Location
Address1: 2630 E SEVENTH ST
Address2: SUITE 200
City: CHARLOTTE
State: NC
PostalCode: 282044318
CountryCode: US
TelephoneNumber: 7043646110
FaxNumber: 7043644245
Other Information
ProviderEnumerationDate: 08/25/2011
LastUpdateDate: 08/25/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X5005264NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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