Healthcare Provider Details
I. General information
NPI: 1457978462
Provider Name (Legal Business Name): ASHLEY NICOLE BELL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/25/2020
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6705 RANGEWOOD DR
COLORADO SPRINGS CO
80918-7300
US
IV. Provider business mailing address
2960 N CIRCLE DR STE 200
COLORADO SPRINGS CO
80909-1163
US
V. Phone/Fax
- Phone: 719-364-0900
- Fax: 719-364-7231
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | 0995593 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0995593 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 0995593 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: