Healthcare Provider Details

I. General information

NPI: 1386205938
Provider Name (Legal Business Name): ANNA BELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 STATE RD
WEBSTER NY
14580-8837
US

IV. Provider business mailing address

1000 ELMWOOD AVE STE 100
ROCHESTER NY
14620-3093
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-0761
  • Fax:
Mailing address:
  • Phone: 585-271-2897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number629850-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: