Healthcare Provider Details

I. General information

NPI: 1255895199
Provider Name (Legal Business Name): MERINDA BARBARA BELL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERINDA BARBARA HAMER

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 PARK EAST BLVD STE B
LAFAYETTE IN
47905-0786
US

IV. Provider business mailing address

302 NORTHVIEW ST
CATLIN IL
61817-9764
US

V. Phone/Fax

Practice location:
  • Phone: 765-714-4344
  • Fax:
Mailing address:
  • Phone: 217-260-8983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01190890
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71011467A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: