Healthcare Provider Details

I. General information

NPI: 1669734620
Provider Name (Legal Business Name): NANCY BELLO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 S AVENUE B BLDG 20
YUMA AZ
85364-7726
US

IV. Provider business mailing address

2851 S AVENUE B BLDG 20
YUMA AZ
85364-7726
US

V. Phone/Fax

Practice location:
  • Phone: 928-344-2434
  • Fax: 928-344-2435
Mailing address:
  • Phone: 928-336-2434
  • Fax: 928-336-2435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35C.000293
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR2127
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number007337
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: