Doctor Name: | MRS. IMOGENE ADAIR BELL |
NPI Number: | 1336209196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 015488 |
Business Practice Address: | 480 N Morley Ave Nogales, AZ - 856212930 |
Business Phone Number: | 5202872726 |
Business Fax Number: | 5202876159 |
Mailing Address: | 480 N Morley Ave, NOGALES |
State: | AZ |
Postal Code: | 856212930 |
Phone Number: | 5202872726 |
Fax Number: | 5202876159 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 015488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |