Healthcare Provider Details

I. General information

NPI: 1760174932
Provider Name (Legal Business Name): MADISON BELL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 N HARRISON ST
SAGINAW MI
48602-4727
US

IV. Provider business mailing address

6061 MAPLE RIDGE DR
BAY CITY MI
48706-9063
US

V. Phone/Fax

Practice location:
  • Phone: 989-450-5329
  • Fax:
Mailing address:
  • Phone: 989-450-5329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704364201
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: