Healthcare Provider Details

I. General information

NPI: 1912509399
Provider Name (Legal Business Name): MEGAN KATHREN BELL WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 US HIGHWAY 61 STE 340
FESTUS MO
63028-4141
US

IV. Provider business mailing address

1400 US HIGHWAY 61 STE 340
FESTUS MO
63028-4141
US

V. Phone/Fax

Practice location:
  • Phone: 636-937-1545
  • Fax: 636-937-8995
Mailing address:
  • Phone: 636-937-1545
  • Fax: 636-937-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2017035708
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: