MEDICARE: MISS PAMELA LOIS BELLOW 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
1	363LF0000X	Family Nurse Practitioner	538632	TX
2	363L00000X	Nurse Practitioner	002176	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V71963	OTHER	NV	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740256189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PAMELA LOIS BELLOW FNP

Provider Business Mailing Address
First Line	:	6360 BOULDER HWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7301
Country	:	US
Telephone Number	:	725-228-4520
Fax Number	:	877-889-5390

Provider Business Practice Location Address
First Line	:	6360 BOULDER HWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7301
Country	:	US
Telephone Number	:	725-228-4520
Fax Number	:	877-889-5390

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

Provider Enumeration Date	:	02/26/2006
Last Update Date	:	08/11/2022

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Directions to “ MISS PAMELA LOIS BELLOW FNP” Practice Location

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