Healthcare Provider Details

I. General information

NPI: 1013587971
Provider Name (Legal Business Name): SHAQUITTA NICOLE BELL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 N MACARTHUR BLVD
IRVING TX
75039-2422
US

IV. Provider business mailing address

2123 RAGLAND RD
MANSFIELD TX
76063-5343
US

V. Phone/Fax

Practice location:
  • Phone: 972-969-2000
  • Fax:
Mailing address:
  • Phone: 404-563-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3-003190
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1046378
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: