Healthcare Provider Details
I. General information
NPI: 1396334256
Provider Name (Legal Business Name): ERIN BELL DNP, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/14/2021
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
175 PATEWOOD DR
GREENVILLE SC
29615-3570
US
IV. Provider business mailing address
300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US
V. Phone/Fax
- Phone: 864-797-1403
- Fax: 864-455-3884
- Phone: 803-522-8603
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 24290 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: