Healthcare Provider Details

I. General information

NPI: 1912837683
Provider Name (Legal Business Name): MRS. PATIENCE E BELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 NW WILIAMSBURG LN
WAUKEE IA
50263-7052
US

IV. Provider business mailing address

625 NW WILIAMSBURG LN
WAUKEE IA
50263-7052
US

V. Phone/Fax

Practice location:
  • Phone: 515-664-1621
  • Fax:
Mailing address:
  • Phone: 515-664-1621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number414AR1771
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: