NPI 1649785262 · live from the CMS NPI Registry
Marc Belisle
Nurse Practitioner in Berlin, VT. National Provider Identifier 1649785262, active.
NPI record
| NPI | 1649785262 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 130 Fisher Rd Unit 1, Berlin, VT 05602 |
| Practice phone | 802-371-4264 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | December 5, 2017 |
| Last updated | July 9, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | aprn01735 (RI) |
| Nurse Practitioner primary | 363L00000X | 101.0134723 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.