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NPI Code Detail

MEDICARE: LISA SUE BELL APRN, BC, FNP

MEDICARE: LISA SUE BELL APRN, BC, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024066808VA

General Provider Information

NPI Number : 1528284940
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA SUE BELL APRN, BC, FNP
Provider Business Mailing Address
First Line : 2413 SPINNAKER CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1221
Country : US
Telephone Number : 757-496-1654
Fax Number : 757-496-1646
Provider Business Practice Location Address
First Line : 3100 SHORE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1199
Country : US
Telephone Number : 757-496-1654
Fax Number : 757-496-1646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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