MEDICARE: ASHLEY BELL

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1730743584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BELL

Provider Business Mailing Address
First Line	:	7465 W LAKE MEAD BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1033
Country	:	US
Telephone Number	:	702-562-1245
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 W LAKE MEAD BLVD APT 1091
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-6419
Country	:	US
Telephone Number	:	702-562-1245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2019
Last Update Date	:	04/26/2019

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Directions to “ ASHLEY BELL ” Practice Location

Language	Start Address	Practice Location

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