Healthcare Provider Details

I. General information

NPI: 1902673932
Provider Name (Legal Business Name): TONIA MARIE BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 12/11/2023
Certification Date: 12/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 UNION BLVD APT 502
ENGLEWOOD OH
45322-2566
US

IV. Provider business mailing address

1206 UNION BLVD APT 502
ENGLEWOOD OH
45322-2566
US

V. Phone/Fax

Practice location:
  • Phone: 937-672-6293
  • Fax:
Mailing address:
  • Phone: 937-672-6293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: