Healthcare Provider Details

I. General information

NPI: 1437366309
Provider Name (Legal Business Name): RUTH BELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 N 16TH ST SUITE 135
PHOENIX AZ
85020-5258
US

IV. Provider business mailing address

7310 N 16TH ST SUITE 135
PHOENIX AZ
85020-5258
US

V. Phone/Fax

Practice location:
  • Phone: 602-279-0202
  • Fax: 602-279-6666
Mailing address:
  • Phone: 602-279-0202
  • Fax: 602-279-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN102429
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: